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General NPI Number Information
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NPI Number | 1205691151
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Entity Type | Individual
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Provider Name | FREDERICK ABROMEIT HIS
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Gender | Male
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 221 S RIVER ST STE 1B
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City | HAILEY
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State | ID
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Zip | 83333-8436
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Country | US
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Telephone | 208-806-2026
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Fax | 208-725-6033
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Provider Business Mailing Address
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Address Line | 221 S RIVER ST STE 1B
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City | HAILEY
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State | ID
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Zip | 83333-8436
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Country | US
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Telephone | 208-806-2026
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Fax | 208-725-6033
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA-4655
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License Number State | ID
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