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General NPI Number Information
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NPI Number | 1861586463
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Entity Type | Individual
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Provider Name | ROBERT D ABY MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/11/2012
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Provider Practice Location Address
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Address Line | 2980 130TH ST E
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City | DUNDAS
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State | MN
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Zip | 55019-4231
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Country | US
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Telephone | 507-646-8964
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 731
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City | NORTHFIELD
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State | MN
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Zip | 55057-0731
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Country | US
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Telephone | 507-646-8964
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Fax | 952-516-5300
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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 | 22806
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License Number State | MN
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