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General NPI Number Information
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NPI Number | 1851677280
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Entity Type | Individual
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Provider Name | MICHELLE LYNN ABRAHAM CNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 2501 W 22ND ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1305
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Country | US
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Telephone | 605-336-3230
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Fax |
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Provider Business Mailing Address
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Address Line | 27833 462ND AVE
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City | CHANCELLOR
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State | SD
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Zip | 57015-5711
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Country | US
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Telephone | 605-351-4595
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CP000674
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License Number State | SD
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