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General NPI Number Information
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NPI Number | 1871758516
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Entity Type | Individual
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Provider Name | MARION GEORGE ABBICK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 719 W 6TH ST SUITE ONE
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City | JUNCTION CITY
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State | KS
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Zip | 66441-5103
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Country | US
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Telephone | 785-238-3221
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Fax |
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Provider Business Mailing Address
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Address Line | 719 W 6TH ST SUITE ONE
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City | JUNCTION CITY
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State | KS
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Zip | 66441-5103
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Country | US
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Telephone | 785-238-3221
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5117
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License Number State | KS
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