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General NPI Number Information
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NPI Number | 1245245083
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Entity Type | Individual
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Provider Name | RONALD ANTHONY ABREW A.T.,C.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1460 S MAIN ST
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5319
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Country | US
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Telephone | 925-280-3920
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Fax |
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Provider Business Mailing Address
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Address Line | 1182 WASHOE DR
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City | SAN JOSE
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State | CA
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Zip | 95120-5543
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Country | US
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Telephone | 408-927-9482
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | CA
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