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NPI 1407096142

NPI 1407096142 : MERRY ABEEL : CLYDE HILL, WA

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General NPI Number Information
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    NPI Number           |    1407096142
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    Entity Type          |    Individual 
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    Provider Name        |    MERRY ABEEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/20/2009
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    Last Update Date     |    02/20/2009
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Provider Practice Location Address
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    Address Line         |    9780 NE 13TH ST 
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    City                 |    CLYDE HILL
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    State                |    WA
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    Zip                  |    98004-3441
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    Country              |    US
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    Telephone            |    425-455-4242
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9780 NE 13TH ST 
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    City                 |    CLYDE HILL
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    State                |    WA
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    Zip                  |    98004-3441
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    Country              |    US
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    Telephone            |    425-455-4242
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    20692
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    License Number State |    CO
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