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General NPI Number Information
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NPI Number | 1215036132
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Entity Type | Individual
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Provider Name | MARIA E ABRUZZO M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 250 GREEN ST STE 104
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City | GARDNER
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State | MA
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Zip | 01440-1377
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Country | US
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Telephone | 978-630-5011
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Fax | 978-669-5521
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Provider Business Mailing Address
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Address Line | 5 NEPONSET ST FL STREET12
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City | WORCESTER
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State | MA
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Zip | 01606-2714
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Country | US
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Telephone | 508-595-2855
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Fax | 508-425-5656
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 219343
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License Number State | MA
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