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General NPI Number Information
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NPI Number | 1306424627
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Entity Type | Individual
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Provider Name | ANDREW T ABRAHAM MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-1000
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Country | US
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Telephone | 859-323-0295
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Fax | 859-323-1256
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Provider Business Mailing Address
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Address Line | 1147 NW 64TH TER
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City | GAINESVILLE
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State | FL
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Zip | 32605-4218
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Country | US
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Telephone | 352-333-5980
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Fax | 352-333-5915
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 59217
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License Number State | KY
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