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General NPI Number Information
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NPI Number | 1568234318
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Entity Type | Organization
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Legal Business Name | ABBEY FOLSOM PLLC
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 1414 PIEDMONT DR E STE 100
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City | TALLAHASSEE
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State | FL
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Zip | 32308-7967
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Country | US
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Telephone | 850-820-3837
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Fax | 850-203-4429
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Provider Business Mailing Address
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Address Line | PO BOX 495
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City | TALLAHASSEE
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State | FL
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Zip | 32302-0495
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Country | US
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Telephone | 850-820-3837
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Fax |
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Authorized Official
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Title or Position | OWNER / OPERATOR
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Name | ABBEY FOLSOM
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Credential | MS, CNS, LDN
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Telephone | 850-820-3837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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