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General NPI Number Information
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NPI Number | 1467788034
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Entity Type | Organization
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Legal Business Name | ENZO L ABAD DO PL
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 182 E 49TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-1853
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Country | US
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Telephone | 305-512-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 182 E 49TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-1853
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Country | US
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Telephone | 305-512-4460
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ENZO LUIS ABAD
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Credential | D.O.
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Telephone | 305-512-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OS 9611
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License Number State | FL
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