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General NPI Number Information
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NPI Number | 1043422843
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Entity Type | Individual
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Provider Name | ANDREA D ABATI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 11820 PARKLAWN DR STE 402 DERMPATH DIAGNOSTICS
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City | ROCKVILLE
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State | MD
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Zip | 20852-2556
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Country | US
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Telephone | 301-816-1781
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Fax | 301-816-1785
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Provider Business Mailing Address
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Address Line | 11820 PARKLAWN DR STE 402 DERMPATH DIAGNOSTICS
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City | ROCKVILLE
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State | MD
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Zip | 20852-2556
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Country | US
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Telephone | 301-816-1781
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Fax | 301-816-1785
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | D0043470
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 163589
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License Number State | NY
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