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General NPI Number Information
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NPI Number | 1043259971
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Entity Type | Individual
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Provider Name | NIRMALA ROSE ABRAHAM MD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 4000 MIAMISBURG CENTERVILLE RD
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City | MIAMISBURG
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State | OH
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Zip | 45342-7615
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Country | US
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Telephone | 937-384-4511
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Fax | 937-384-3837
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Provider Business Mailing Address
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Address Line | 4000 MIAMISBURG CENTERVILLE RD PHYSICIAN OFFICE BUILDING, SUITE 420
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City | MIAMISBURG
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State | OH
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Zip | 45342-7615
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Country | US
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Telephone | 937-384-4511
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Fax | 937-384-3837
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A78127
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 35.096133
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 35.096133
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License Number State | OH
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