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General NPI Number Information
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NPI Number | 1881758571
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Entity Type | Organization
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Legal Business Name | MARC NEAL ABO, MD PA
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 100 COVENTRY DR
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1900
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Country | US
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Telephone | 908-859-0034
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Fax | 908-859-3918
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Provider Business Mailing Address
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Address Line | 100 COVENTRY DR
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1900
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Country | US
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Telephone | 908-859-0034
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Fax | 908-859-3918
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Authorized Official
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Title or Position | OWNER
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Name | MARC NEAL ABO
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Credential | M.D.
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Telephone | 908-859-0034
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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 | 25MA03612300
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License Number State | NJ
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