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General NPI Number Information
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NPI Number | 1588850275
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Entity Type | Organization
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Legal Business Name | JULES S. ABADI, MD
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 285 SILLS RD BUILDING 5-6, SUITE A
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-4869
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Country | US
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Telephone | 631-475-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 285 SILLS RD BUILDING 5-6, SUITE A
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-4869
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Country | US
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Telephone | 631-475-9300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULES SINCLAIR ABADI
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Credential | M.D.
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Telephone | 631-475-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 182724
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License Number State | NY
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