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General NPI Number Information
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NPI Number | 1396408076
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Entity Type | Individual
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Provider Name | JAIME LYNN ABBIATI PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 3550 MAIN ST STE 204
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1078
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Country | US
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Telephone | 413-867-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WASON AVE STE 200
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1179
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Country | US
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Telephone | 413-787-0090
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA8399
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License Number State | MA
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