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General NPI Number Information
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NPI Number | 1134101298
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Entity Type | Individual
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Provider Name | CHARLES ERNST ABRAHAMSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 10000 BAY PINES BLVD. BLDG 100, RM 1E-203 BAY PINES VAHCS
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City | BAY PINES
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-6661
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Fax | 727-319-1332
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Provider Business Mailing Address
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Address Line | 10000 BAY PINES BLVD. (SURGICAL SERVICES 112) BAY PINES VAHCS
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City | BAY PINES
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-6661
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Fax | 727-319-1332
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME45736
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License Number State | FL
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