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General NPI Number Information
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NPI Number | 1528222486
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Entity Type | Individual
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Provider Name | MICHAEL ABRUZZESE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 889 CENTERVILLE RD
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City | WARWICK
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State | RI
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Zip | 02886-4342
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Country | US
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Telephone | 401-826-8875
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Fax | 401-823-9180
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Provider Business Mailing Address
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Address Line | 889 CENTERVILLE RD
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City | WARWICK
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State | RI
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Zip | 02886-4342
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Country | US
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Telephone | 401-826-8875
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Fax | 401-823-9180
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS000964
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License Number State | RI
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