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General NPI Number Information
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NPI Number | 1548496946
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Entity Type | Individual
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Provider Name | CHAD J. ABBY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9860 BRIMHALL RD. #100
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City | BAKERSFIELD
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State | CA
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Zip | 93312
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Country | US
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Telephone | 661-588-2525
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Fax | 661-588-2222
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Provider Business Mailing Address
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Address Line | 9860 BRIMHALL RD. #100
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City | BAKERSFIELD
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State | CA
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Zip | 93312
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Country | US
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Telephone | 661-588-2525
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Fax | 661-588-2222
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 58113
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License Number State | CA
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