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General NPI Number Information
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NPI Number | 1174844096
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Entity Type | Individual
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Provider Name | GRETA L ABEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 1800 N MAIN ST STE 100
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City | WHEATON
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State | IL
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Zip | 60187-3112
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Country | US
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Telephone | 630-653-4240
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Fax | 630-315-6557
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Provider Business Mailing Address
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Address Line | 28375 DAVIS PKWY
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City | WARRENVILLE
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State | IL
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Zip | 60555-3030
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Country | US
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Telephone | 630-653-4240
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Fax | 630-225-4033
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 085-001708
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085001708
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License Number State | IL
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