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General NPI Number Information
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NPI Number | 1700997574
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Entity Type | Organization
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Legal Business Name | FAITH ABBOTT DO PLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 7326 GRATIOT RD
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City | SAGINAW
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State | MI
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Zip | 48609-6909
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Country | US
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Telephone | 989-781-2232
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Fax | 989-781-2399
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Provider Business Mailing Address
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Address Line | 7326 GRATIOT RD
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City | SAGINAW
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State | MI
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Zip | 48609-6909
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Country | US
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Telephone | 989-781-2232
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Fax | 989-781-2399
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Authorized Official
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Title or Position | OWNER
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Name | DR. FAITH ABBOTT
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Credential | D.O.
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Telephone | 989-781-2232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5101011271
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License Number State | MI
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