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General NPI Number Information
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NPI Number | 1760123558
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Entity Type | Individual
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Provider Name | ABIGAIL A CARRANZA DO
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 129 LUBRANO DR STE 100
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7566
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Country | US
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Telephone | 410-266-5852
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Fax |
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Provider Business Mailing Address
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Address Line | 7580 BUCKINGHAM BLVD STE 220
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City | HANOVER
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State | MD
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Zip | 21076-3210
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Country | US
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Telephone | 410-729-5100
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0104146
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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