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General NPI Number Information
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NPI Number | 1477737377
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Entity Type | Organization
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Legal Business Name | ALLYSON A. ABBOTT D.M.D.
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 2050 BUTLER PIKE
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1800
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Country | US
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Telephone | 610-834-7770
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Fax | 610-834-3776
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Provider Business Mailing Address
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Address Line | 2050 BUTLER PIKE
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1800
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Country | US
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Telephone | 610-834-7770
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Fax | 610-834-3776
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLYSON ANN ABBOTT
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Credential | D.M.D.
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Telephone | 610-834-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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