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General NPI Number Information
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NPI Number | 1508027137
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Entity Type | Organization
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Legal Business Name | ROBERT J. ABRAMS, DPM
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 530 NEW LOS ANGELES AVE. SUITE 210
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City | MOORPARK
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State | CA
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Zip | 93021-2081
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Country | US
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Telephone | 805-523-0400
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Fax | 805-523-0014
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Provider Business Mailing Address
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Address Line | 24355 LYONS AVE SUITE 105
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2300
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Country | US
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Telephone | 661-253-3668
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Fax | 661-253-2872
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT JAMES ABRAMS
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Credential | D.P.M
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Telephone | 805-523-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | E3397
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License Number State | CA
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