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General NPI Number Information
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NPI Number | 1033441332
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Entity Type | Individual
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Provider Name | MAYRAM ABRAMOV PHD
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Gender | Female
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 02/11/2010
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Provider Practice Location Address
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Address Line | 773 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10065-8531
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Country | US
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Telephone | 347-622-2946
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Fax |
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Provider Business Mailing Address
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Address Line | 6612 102ND ST APT 1B
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City | REGO PARK
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State | NY
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Zip | 11374-4524
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Country | US
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Telephone | 347-622-2946
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 053820
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License Number State | NY
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