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NPI 1487626834

NPI 1487626834 : MARY K ABRAHAMSON DNP, NP-C, ACHPN : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1487626834
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    Entity Type          |    Individual 
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    Provider Name        |    MARY K ABRAHAMSON DNP, NP-C, ACHPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/01/2006
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    Last Update Date     |    09/26/2023
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Provider Practice Location Address
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    Address Line         |    310 S WILLIAMS BLVD STE 210 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85711-4483
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    Country              |    US
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    Telephone            |    520-284-9334
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7400 N ORACLE RD STE 150406 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85704-6331
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    Country              |    US
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    Telephone            |    520-334-9394
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    AP1676
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    License Number State |    AZ
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