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General NPI Number Information
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NPI Number | 1528994969
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Entity Type | Individual
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Provider Name | ETHAN EDWARD ABELL PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 1425 PORTLAND AVE BLDG 3
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City | ROCHESTER
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State | NY
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Zip | 14621-3095
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Country | US
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Telephone | 585-922-4000
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Fax | 585-922-2951
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Provider Business Mailing Address
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Address Line | 137 HARVARD ST APT 2
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City | ROCHESTER
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State | NY
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Zip | 14607-3167
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Country | US
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Telephone | 585-775-5692
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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