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General NPI Number Information
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NPI Number | 1114133279
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Entity Type | Individual
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Provider Name | JEREMY SCOTT ABRAMSON P.T.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 1621 S CICERO AVE
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City | CICERO
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State | IL
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Zip | 60804-1520
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Country | US
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Telephone | 708-658-1785
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Fax |
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Provider Business Mailing Address
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Address Line | 576 BROADHOLLOW RD
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City | MELVILLE
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State | NY
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Zip | 11747-5002
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Country | US
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Telephone | 631-359-5859
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Fax | 631-396-0865
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 038229
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2570
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7109
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501006783
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1994
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT22233
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070016822
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License Number State | IL
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