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General NPI Number Information
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NPI Number | 1457371197
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Entity Type | Individual
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Provider Name | MARK EDWARD ABRAMSON D D S
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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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 | PO BOX 610152
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City | REDWOOD CITY
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State | CA
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Zip | 94061-0152
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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 |
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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 | 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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