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General NPI Number Information
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NPI Number | 1457840365
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Entity Type | Individual
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Provider Name | AILEEN ABANKWA MD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2950 COLLEGE DR STE 2A
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City | VINELAND
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State | NJ
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Zip | 08360-6933
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Country | US
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Telephone | 856-641-8680
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Fax | 856-641-8679
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Provider Business Mailing Address
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Address Line | 134 BRIDGETON PIKE STE C
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2616
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Country | US
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Telephone | 856-507-2783
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA12633200
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License Number State | NJ
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