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General NPI Number Information
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NPI Number | 1568834216
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Entity Type | Organization
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Legal Business Name | ABBA & SONS INC
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 4903 VEGAS DRIVE STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89108-1204
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Country | US
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Telephone | 702-505-8579
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Fax | 702-851-4898
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Provider Business Mailing Address
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Address Line | 4903 VEGAS DRIVE SUITE 101
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City | LAS VEGAS
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State | NV
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Zip | 89108-1204
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Country | US
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Telephone | 702-505-8579
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Fax | 705-851-4898
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANKLIN AKIOYAME
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Credential | APN
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Telephone | 702-505-8579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 12100
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN001048
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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