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NPI 1699852590

NPI 1699852590 : NORMAN DAVID ABE DDS : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1699852590
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    Entity Type          |    Individual 
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    Provider Name        |    NORMAN DAVID ABE DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    8915 14TH AVE S SECOND FLOOR
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98108-4813
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    Country              |    US
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    Telephone            |    206-762-3263
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    Fax                  |    206-763-6574
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Provider Business Mailing Address
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    Address Line         |    PO BOX 34703 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98124-1703
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    Country              |    US
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    Telephone            |    206-764-0112
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    Fax                  |    206-764-0112
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DE00007772
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    License Number State |    WA
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