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General NPI Number Information
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NPI Number | 1659424497
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Entity Type | Individual
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Provider Name | ABIGAIL S DAVID OD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 895 S STATE ROAD 135
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City | GREENWOOD
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State | IN
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Zip | 46143-9413
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Country | US
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Telephone | 317-883-5218
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Fax |
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Provider Business Mailing Address
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Address Line | 1775 MAYNARD DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-5019
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Country | US
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Telephone | 317-787-7986
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003094
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License Number State | IN
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