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General NPI Number Information
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NPI Number | 1851911275
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Entity Type | Individual
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Provider Name | EVANGELINE ABELGAS MT
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Gender | Female
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 6826 20TH ST E UNIT 1
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City | FIFE
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State | WA
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Zip | 98424-3516
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Country | US
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Telephone | 415-410-6301
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Fax |
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Provider Business Mailing Address
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Address Line | 6826 20TH ST E UNIT 1
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City | FIFE
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State | WA
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Zip | 98424-3516
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Country | US
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Telephone | 415-410-6301
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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 | 246QM0706X
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Taxonomy Name | Medical Technologist
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License Number | MT-1176
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License Number State | CA
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