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General NPI Number Information
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NPI Number | 1750438859
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Entity Type | Individual
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Provider Name | ABIGAIL S BOSTON R.N.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 709 WALKER LAKE ONTARIO RD
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City | HILTON
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State | NY
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Zip | 14468-9131
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Country | US
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Telephone | 585-964-8971
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Fax |
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Provider Business Mailing Address
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Address Line | 188 UTICA ST
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City | BROCKPORT
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State | NY
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Zip | 14420-2235
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Country | US
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Telephone | 585-637-3818
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 2204171
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License Number State | NY
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