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General NPI Number Information
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NPI Number | 1306972765
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Entity Type | Individual
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Provider Name | STEPHEN HART ABRAMS O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 3408 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33803-4765
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Country | US
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Telephone | 813-445-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 11794 STONE PINE ST
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City | RIVERVIEW
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State | FL
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Zip | 33569-5574
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18001759B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC1256
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License Number State | FL
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