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General NPI Number Information
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NPI Number | 1306685821
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Entity Type | Individual
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Provider Name | RAYMOND CARLOS ABAGAT FNP
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Gender | Male
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 4320 MARICOPA ST
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City | TORRANCE
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State | CA
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Zip | 90503-4314
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Country | US
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Telephone | 310-804-0948
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Fax |
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Provider Business Mailing Address
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Address Line | 19421 GALWAY AVE
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City | CARSON
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State | CA
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Zip | 90746-1921
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Country | US
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Telephone | 310-804-0948
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95030209
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License Number State | CA
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