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General NPI Number Information
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NPI Number | 1750559589
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Entity Type | Individual
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Provider Name | ABIADE CHRISTOPHER SHORT M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 3177 OCEAN VIEW BLVD SUITE # 200
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City | SAN DIEGO
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State | CA
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Zip | 92113-1432
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Country | US
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Telephone | 619-662-4100
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Fax | 619-531-7043
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Provider Business Mailing Address
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Address Line | 3177 OCEAN VIEW BLVD SUITE # 200
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City | SAN DIEGO
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State | CA
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Zip | 92113-1432
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Country | US
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Telephone | 619-662-4100
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Fax | 619-531-7043
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301088473
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A114893
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License Number State | CA
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