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General NPI Number Information
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NPI Number | 1649488560
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Entity Type | Individual
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Provider Name | DR. JARRED ABEL
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE STE 930
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4316
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Country | US
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Telephone | 301-652-7372
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 WISCONSIN AVE STE 930
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4316
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Country | US
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Telephone | 301-652-7372
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Fax | 301-652-5806
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 14850
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License Number State | MD
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