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General NPI Number Information
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NPI Number | 1508886227
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Entity Type | Individual
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Provider Name | WAYNE ABRAHAMS MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 64 ROBBINS ST WATERBURY HOSPITAL
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City | WATERBURY
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State | CT
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Zip | 06721-5503
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Country | US
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Telephone | 203-573-6295
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Fax |
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Provider Business Mailing Address
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Address Line | 526 PELHAM RD UNIT #3
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City | NEW ROCHELLE
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State | NY
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Zip | 10805-1631
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Country | US
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Telephone | 914-654-0152
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 228607-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 041885
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License Number State | CT
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