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General NPI Number Information
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NPI Number | 1326497405
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Entity Type | Individual
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Provider Name | MINI ABRAHAM
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Gender | Female
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 400 COLUMBUS AVE
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City | NEW HAVEN
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State | CT
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Zip | 06519-1233
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Country | US
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Telephone | 914-740-3976
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Fax |
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Provider Business Mailing Address
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Address Line | PALAVILA
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City | PANDALAM
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State | KERALA
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Zip | 689518
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Country | IN
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT0013481
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License Number State | CT
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