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General NPI Number Information
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NPI Number | 1881040053
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Entity Type | Organization
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Legal Business Name | AB MED, LLC
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 2680 S VAL VISTA DR SUITE 152
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City | GILBERT
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State | AZ
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Zip | 85295-2152
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Country | US
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Telephone | 888-515-3900
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Fax | 480-292-8655
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Provider Business Mailing Address
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Address Line | 2680 S VAL VISTA DR SUITE 152
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City | GILBERT
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State | AZ
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Zip | 85295-2152
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Country | US
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Telephone | 888-515-3900
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Fax | 480-292-8655
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Authorized Official
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Title or Position | CEO
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Name | MR. STANLEY RASHKIN
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Credential |
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Telephone | 888-515-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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