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General NPI Number Information
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NPI Number | 1265434179
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Entity Type | Individual
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Provider Name | KAREN RAE ABBOTT MD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 1101 WEST MOANA LANE SUITE 8
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City | RENO
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State | NV
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Zip | 89509
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Country | US
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Telephone | 775-322-8883
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Fax | 775-827-8813
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Provider Business Mailing Address
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Address Line | 1101 WESTMOANA LANE SUITE 8
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City | RENO
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State | NV
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Zip | 89509
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Country | US
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Telephone | 775-322-8883
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Fax | 775-827-8813
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 11149
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 11149
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 11149
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License Number State | NV
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