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General NPI Number Information
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NPI Number | 1881513695
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Entity Type | Individual
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Provider Name | DR. ABIGAIL CHRISTINE GREGOR
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 24 S OLIVE ST
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City | WACONIA
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State | MN
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Zip | 55387-1404
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Country | US
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Telephone | 952-442-2518
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 SILVER ST
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City | WACONIA
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State | MN
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Zip | 55387-8613
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Country | US
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Telephone | 763-568-1677
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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 | D15526
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License Number State | MN
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