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General NPI Number Information
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NPI Number | 1053418277
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Entity Type | Organization
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Legal Business Name | DR GEORGE ABRAHAM PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/11/2014
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Provider Practice Location Address
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Address Line | 15 INDUSTRIAL BLVD SUITE 203
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City | PAOLI
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State | PA
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Zip | 19301-1608
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Country | US
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Telephone | 610-240-0240
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Fax | 610-240-0335
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Provider Business Mailing Address
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Address Line | 460 N APPLE TREE LN
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City | LAFAYETTE HILL
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State | PA
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Zip | 19444-2602
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Country | US
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Telephone | 610-240-0240
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Fax | 610-240-0335
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GEORGE ABRAHAM
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Credential |
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Telephone | 610-240-0240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD072501L
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License Number State | PA
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