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General NPI Number Information
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NPI Number | 1033104971
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Entity Type | Individual
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Provider Name | ABRAHAM M OBUCHOWSKI MD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 5301 SOUTH CONGRESS AVE
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City | ATLANTIS
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State | FL
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Zip | 33462
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Country | US
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Telephone | 561-548-3727
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Fax | 561-548-1238
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Provider Business Mailing Address
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Address Line | 7700 WEST SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322
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Country | US
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Telephone | 866-957-8399
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Fax |
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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 | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number | ME109182
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME109182
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License Number State | FL
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