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General NPI Number Information
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NPI Number | 1285997510
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Entity Type | Organization
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Legal Business Name | HELEN ABDAL OD PA
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 10660 FOREST HILL BLVD SUITE 210
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City | WELLINGTON
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State | FL
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Zip | 33414-3170
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Country | US
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Telephone | 954-732-3521
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Fax |
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Provider Business Mailing Address
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Address Line | 3583 BIRAGUE DR
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City | WELLINGTON
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State | FL
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Zip | 33449-8059
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Country | US
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Telephone | 954-732-3521
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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. HELEN ABDAL
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Credential | O.D.
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Telephone | 954-732-3521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3862
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License Number State | FL
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