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General NPI Number Information
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NPI Number | 1619015146
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Entity Type | Organization
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Legal Business Name | ABIGAIL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 9301 WILSHIRE BLVD SUITE 301
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5424
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Country | US
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Telephone | 310-888-8877
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Fax | 310-273-5601
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Provider Business Mailing Address
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Address Line | 369 S DOHENY DR SUITE 301
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3508
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Country | US
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Telephone | 310-888-8877
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Fax | 310-273-5601
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ARMAND NEWMAN
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Credential | M.D.
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Telephone | 310-888-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A41518
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License Number State | CA
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