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General NPI Number Information
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NPI Number | 1003918459
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Entity Type | Individual
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Provider Name | CONSTANTE U ABAYA MD
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Gender | Male
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 1200 N VENTURA RD # C
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City | OXNARD
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State | CA
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Zip | 93030
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Country | US
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Telephone | 805-983-0730
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Fax | 805-485-4586
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Provider Business Mailing Address
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Address Line | 1200 N VENTURA RD # C
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City | OXNARD
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State | CA
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Zip | 93030
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Country | US
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Telephone | 805-983-0730
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Fax | 805-485-4586
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A24454
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License Number State | CA
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