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General NPI Number Information
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NPI Number | 1790904258
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Entity Type | Organization
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Legal Business Name | ABADIR ASSOCIATES, M.D., P.C.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 90 S RIDGE ST # LL3
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City | RYE BROOK
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State | NY
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Zip | 10573-2867
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Country | US
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Telephone | 914-937-5500
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Fax | 914-937-7678
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Provider Business Mailing Address
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Address Line | 90 S RIDGE ST # LL3
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City | RYE BROOK
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State | NY
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Zip | 10573-2867
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Country | US
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Telephone | 914-937-5500
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Fax | 914-937-7678
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DALE M. ABADIR
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Credential | M.D.
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Telephone | 914-937-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 114927
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License Number State | NY
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