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General NPI Number Information
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NPI Number | 1235230087
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Entity Type | Organization
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Legal Business Name | ABBOTT KAGAN II, M.D., P.A.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 05/07/2010
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Provider Practice Location Address
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Address Line | 8710 COLLEGE PKWY
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City | FT. MYERS
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State | FL
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Zip | 33919
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Country | US
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Telephone | 239-482-8788
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Fax | 239-482-1566
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Provider Business Mailing Address
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Address Line | 8710 COLLEGE PKWY
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City | FT. MYERS
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State | FL
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Zip | 33919
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Country | US
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Telephone | 239-482-8788
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Fax | 239-482-1566
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Authorized Official
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Title or Position | INSURANCE/BILLING MANAGER
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Name | MRS. STACY LEE DAUBENBERGER
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Credential |
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Telephone | 239-482-8788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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