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General NPI Number Information
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NPI Number | 1104677525
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Entity Type | Organization
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Legal Business Name | MICHAEL ABRAMS DDS
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 6910 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11234-6119
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Country | US
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Telephone | 718-444-3800
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Fax | 718-444-3039
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Provider Business Mailing Address
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Address Line | 7 CHARLES WAY
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City | GLEN HEAD
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State | NY
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Zip | 11545-2736
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Country | US
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Telephone | 516-484-7416
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Fax | 516-484-7552
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARLENE ABRAMS
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Credential |
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Telephone | 516-484-7416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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