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General NPI Number Information
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NPI Number | 1255516050
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Entity Type | Organization
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Legal Business Name | PATRICK ABIUSO MD PC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 1900 FRONTAGE RD SUITE 105
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2211
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Country | US
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Telephone | 856-429-1910
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Fax | 856-429-1912
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Provider Business Mailing Address
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Address Line | 1900 FRONTAGE RD SUITE 105
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2211
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Country | US
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Telephone | 856-429-1910
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Fax | 856-429-1912
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Authorized Official
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Title or Position | BILLING ACCOUNT REPRESENTATIVE
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Name | SHARON CARDONA
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Credential |
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Telephone | 800-572-0809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA31840
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License Number State | NJ
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