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General NPI Number Information
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NPI Number | 1558415067
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Entity Type | Individual
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Provider Name | THOMAS BENTON ABLEMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | DEPT OF OPHTHALMOLOGY 34800 BOB WILSON DRIVE
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City | SAN DIEGO
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State | CA
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Zip | 92134-1098
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Country | US
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Telephone | 619-532-6719
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT OF OPHTHALMOLOGY 34800 BOB WILSON DRIVE
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City | SAN DIEGO
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State | CA
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Zip | 92134-1098
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Country | US
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Telephone | 619-532-6719
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101247650
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 39020000X
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | 0101247650
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License Number State | VA
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