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General NPI Number Information
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NPI Number | 1679774715
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Entity Type | Organization
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Legal Business Name | BERNARDINO FLORES ABAYA M.D.,PA.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 2517 DORRINGTON ST
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City | HOUSTON
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State | TX
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Zip | 77030-1928
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Country | US
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Telephone | 713-383-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20149
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City | HOUSTON
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State | TX
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Zip | 77225-0149
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Country | US
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Telephone | 713-383-7000
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Fax | 713-383-7001
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Authorized Official
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Title or Position | MANAGING PHYSICIAN
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Name | BERNARDINO FLORES ABAYA
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Credential | M.D.
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Telephone | 713-383-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | J2470
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License Number State | TX
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