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General NPI Number Information
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NPI Number | 1205895653
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Entity Type | Individual
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Provider Name | ELEANOR CHOY ABELLA MD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 395 W MAIN ST NEW RIVER HEALTH @UNION COUNTY
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City | LAKE BUTLER
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State | FL
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Zip | 32054-1642
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Country | US
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Telephone | 386-496-3154
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Fax | 386-243-6500
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Provider Business Mailing Address
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Address Line | 395 W MAIN ST
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City | LAKE BUTLER
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State | FL
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Zip | 32054-1642
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Country | US
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Telephone | 386-496-3154
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Fax | 386-243-6500
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME79371
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License Number State | FL
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