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General NPI Number Information
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NPI Number | 1194143115
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Entity Type | Individual
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Provider Name | DENNRIK ABRAHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 17 DAVIS BLVD SUITE 308
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City | TAMPA
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State | FL
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Zip | 33606-3475
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Country | US
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Telephone | 813-250-2506
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 DR MARTIN LUTHER KING ST N STE 108
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City | ST PETERSBURG
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State | FL
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Zip | 33701-1547
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Country | US
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Telephone | 727-865-4290
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Fax | 727-346-1054
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | ME144449
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License Number State | FL
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