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General NPI Number Information
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NPI Number | 1689936866
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Entity Type | Organization
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Legal Business Name | CONSTANTE U. ABAYA A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 1200 N VENTURA RD SUITE C
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City | OXNARD
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State | CA
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Zip | 93030-3863
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Country | US
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Telephone | 805-983-0730
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 N VENTURA RD SUITE C
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City | OXNARD
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State | CA
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Zip | 93030-3863
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Country | US
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Telephone | 805-983-0730
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CONSTANTE UBAN ABAYA
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Credential | MD
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Telephone | 805-983-0730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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