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General NPI Number Information
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NPI Number | 1700472602
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Entity Type | Individual
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Provider Name | BENJAMIN ABRAHAMS DMD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 5230 BOULDER HWY STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89122-6079
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Country | US
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Telephone | 702-851-6724
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Fax |
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Provider Business Mailing Address
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Address Line | 5230 BOULDER HWY STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89122-6079
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Country | US
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Telephone | 702-851-6724
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7424
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 7424
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7424
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 7424
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 7424
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 7424
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License Number State | NV
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Taxonomy #7
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 7424
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License Number State | NV
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Taxonomy #8
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | 7424
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License Number State | NV
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Taxonomy #9
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number | 7424
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7424TU
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License Number State | NV
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