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General NPI Number Information
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NPI Number | 1831182815
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Entity Type | Individual
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Provider Name | RICARDO ABDOM ABRAHAM MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 3125 W ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-3506
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Country | US
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Telephone | 956-544-5700
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Fax | 956-350-9573
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Provider Business Mailing Address
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Address Line | 3125 W ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-3506
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Country | US
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Telephone | 956-544-5700
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Fax | 956-350-9573
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M2892
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License Number State | TX
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