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General NPI Number Information
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NPI Number | 1255530077
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Entity Type | Organization
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Legal Business Name | DOUGLAS J ABELES, MD, INC.
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 21030 REDWOOD ROAD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5920
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Country | US
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Telephone | 510-538-0430
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Fax | 510-538-1839
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Provider Business Mailing Address
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Address Line | 21030 REDWOOD RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5920
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Country | US
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Telephone | 510-538-0430
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Fax | 510-538-1839
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS ABELES
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Credential |
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Telephone | 510-538-0430
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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 | G079953
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License Number State | CA
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