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General NPI Number Information
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NPI Number | 1528375078
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Entity Type | Individual
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Provider Name | ABRAHAM TESTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 16850 BEAR VALLEY RD
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City | VICTORVILLE
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State | CA
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Zip | 92395-5794
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Country | US
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Telephone | 760-241-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 12251 S 80TH AVE STE 1630
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1256
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Country | US
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Telephone | 708-923-5173
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Fax | 708-923-5018
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01078840A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C178551
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036144815
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License Number State | IL
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