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General NPI Number Information
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NPI Number | 1619083326
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Entity Type | Individual
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Provider Name | ABRAHAM ABDO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 2698 N GALLOWAY AVE STE 105
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City | MESQUITE
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State | TX
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Zip | 75150-6383
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Country | US
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Telephone | 972-613-4488
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Fax | 972-613-1975
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Provider Business Mailing Address
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Address Line | 2698 N GALLOWAY AVE STE 105
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City | MESQUITE
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State | TX
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Zip | 75150-6383
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Country | US
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Telephone | 972-613-4488
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Fax | 972-613-1975
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G0647
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License Number State | TX
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