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General NPI Number Information
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NPI Number | 1568641728
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Entity Type | Individual
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Provider Name | MICHAEL BRANDON ABRAMS PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 160 N EAGLE CREEK DR SUITE 307
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City | LEXINGTON
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State | KY
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Zip | 40509-2121
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Country | US
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Telephone | 859-226-0031
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Fax | 859-226-0041
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Provider Business Mailing Address
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Address Line | 3900 CROSBY DR #1810
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City | LEXINGTON
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State | KY
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Zip | 40515-1811
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Country | US
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Telephone | 786-246-3973
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9103653
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License Number State | FL
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