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General NPI Number Information
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NPI Number | 1023002565
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Entity Type | Individual
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Provider Name | MINI R ABRAHAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 10000 COLLEGE BLVD
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1435
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Country | US
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Telephone | 913-258-5055
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Fax | 913-258-5057
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Provider Business Mailing Address
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Address Line | 10550 QUIVIRA RD SUITE 530
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City | OVERLAND PARK
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State | KS
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Zip | 66215-2306
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Country | US
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Telephone | 913-599-3828
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Fax | 913-599-3451
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 04-30134
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License Number State | KS
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