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General NPI Number Information
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NPI Number | 1619125804
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Entity Type | Organization
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Legal Business Name | G ROSS ABRAMS DMD
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 591 RIVER HWY STE M
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City | MOORESVILLE
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State | NC
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Zip | 28117-6979
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Country | US
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Telephone | 704-235-6075
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Fax | 704-235-6076
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Provider Business Mailing Address
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Address Line | 591 RIVER HWY STE M
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City | MOORESVILLE
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State | NC
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Zip | 28117-6979
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Country | US
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Telephone | 704-235-6075
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Fax | 704-235-6076
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SAWNSURAE HAKIM
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Credential |
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Telephone | 704-405-5690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7528
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8243
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8339
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License Number State | NC
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