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General NPI Number Information
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NPI Number | 1285813386
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Entity Type | Organization
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Legal Business Name | DR. DAVID J. ABRAMS, PA
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 950 N CONGRESS AVE J230
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3328
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Country | US
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Telephone | 305-332-6678
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Fax |
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Provider Business Mailing Address
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Address Line | 13484 JONQUIL CT
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City | WELLINGTON
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State | FL
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Zip | 33414-8551
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Country | US
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Telephone | 305-332-6678
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID JAY ABRAMS
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Credential | PSY.D.
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Telephone | 305-332-6678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6554
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License Number State | FL
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