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NPI 1437040698

NPI 1437040698 : CHRISTINE ABBOT : WALDWICK, NJ

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General NPI Number Information
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    NPI Number           |    1437040698
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE ABBOT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/14/2025
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    Last Update Date     |    07/14/2025
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Provider Practice Location Address
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    Address Line         |    83 FRANKLIN TPKE 
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    City                 |    WALDWICK
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    State                |    NJ
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    Zip                  |    07463-1820
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    Country              |    US
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    Telephone            |    201-445-1079
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    148 PROSPECT ST 
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    City                 |    RAMSEY
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    State                |    NJ
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    Zip                  |    07446-2548
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    Country              |    US
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    Telephone            |    201-396-9872
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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        |    2081S0010X
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    Taxonomy Name        |    Sports Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    40QB00157000
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    License Number State |    NJ
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