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NPI 1790860179

NPI 1790860179 : ABRAMSON ANESTHESIOLOGY SERVICES : MAYFIELD, KY

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General NPI Number Information
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    NPI Number           |    1790860179
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABRAMSON ANESTHESIOLOGY SERVICES 
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Dates
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    Enumeration Date     |    10/26/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1029 MEDICAL CENTER CIR 
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    City                 |    MAYFIELD
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    State                |    KY
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    Zip                  |    42066-1189
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    Country              |    US
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    Telephone            |    270-251-4100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4935 STATE ROUTE 303 
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    City                 |    MAYFIELD
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    State                |    KY
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    Zip                  |    42066-7218
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    Country              |    US
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    Telephone            |    573-686-5550
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MARC  ABRAMSON 
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    Credential           |    MD
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    Telephone            |    573-686-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    KY
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