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General NPI Number Information
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NPI Number | 1194125559
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Entity Type | Individual
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Provider Name | JOHN ABRAM FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 1501 W 13TH ST
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City | LOVELAND
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State | CO
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Zip | 80537-4440
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Country | US
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Telephone | 970-290-1361
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Fax | 844-415-2182
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Provider Business Mailing Address
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Address Line | 1501 W 13TH ST
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City | LOVELAND
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State | CO
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Zip | 80537-4440
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Country | US
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Telephone | 970-290-1361
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Fax | 844-415-2182
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0991004-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 32684.1270
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License Number State | WY
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