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General NPI Number Information
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NPI Number | 1417179839
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Entity Type | Organization
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Legal Business Name | CRAIG E. ABRAHAMSON & ASSOCIATES, P.A.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 619 NEST LICK ACRES ROAD
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City | OAKLAND
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State | MD
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Zip | 21550-4134
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Country | US
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Telephone | 301-334-9202
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Fax |
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 74
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City | OAKLAND
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State | MD
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Zip | 21550-0074
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Country | US
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Telephone | 301-334-9202
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CRAIG EILERT ABRAHAMSON
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Credential | LCSW-C, PH.D.
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Telephone | 301-334-9202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-C 6012
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License Number State | MD
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