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General NPI Number Information
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NPI Number | 1386844231
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Entity Type | Organization
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Legal Business Name | MARK ABRAMSON, D D S INC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 424 N SAN MATEO DR STE 300
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City | SAN MATEO
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State | CA
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Zip | 94401-2492
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Country | US
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Telephone | 650-369-9227
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Fax | 650-369-9241
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Provider Business Mailing Address
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Address Line | 35 RENATO CT
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City | REDWOOD CITY
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State | CA
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Zip | 94061-4095
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Country | US
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Telephone | 650-369-9227
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Fax | 650-369-9241
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK E ABRAMSON
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Credential | D D S
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Telephone | 650-369-9227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 25856
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License Number State | CA
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