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General NPI Number Information
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NPI Number | 1164155610
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Entity Type | Organization
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Legal Business Name | ABBONDANZA ENTERPRISES LLC
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 5475 DEERFIELD BLVD
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City | MASON
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State | OH
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Zip | 45040-2513
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Country | US
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Telephone | 513-777-0290
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Fax |
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Provider Business Mailing Address
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Address Line | 5475 DEERFIELD BLVD
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City | MASON
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State | OH
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Zip | 45040-2513
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Country | US
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Telephone | 513-777-0290
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | JOANNE ZIOLKOWSKI
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Credential | C.PED, L.PED
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Telephone | 513-777-0290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224L00000X
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Taxonomy Name | Pedorthist
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License Number |
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License Number State |
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