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General NPI Number Information
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NPI Number | 1043424989
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Entity Type | Organization
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Legal Business Name | ABERGEL INSTITUTE
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 2001 SANTA MONICA BLVD SUITE 1250 W
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City | SANTA MONICA
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State | CA
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Zip | 90404
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Country | US
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Telephone | 310-829-2005
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Fax | 310-453-9201
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Provider Business Mailing Address
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Address Line | 2001 SANTA MONICA BLVD SUITE 1250 W
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City | SANTA MONICA
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State | CA
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Zip | 90404
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Country | US
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Telephone | 310-829-2005
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Fax | 310-453-9201
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT PATRICK ABERGEL
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Credential | MD
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Telephone | 310-829-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A41084
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License Number State | CA
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