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General NPI Number Information
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NPI Number | 1891908737
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Entity Type | Individual
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Provider Name | WILLIAM G ABBOTT DDS
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 801 S PAULINA ST COLLEGE OF DENTISTRY
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City | CHICAGO
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State | IL
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Zip | 60612-7210
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Country | US
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Telephone | 312-996-7493
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Fax |
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Provider Business Mailing Address
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Address Line | 220 OXFORD STREET WEST
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City | LONDON
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State | ONTARIO
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Zip | N6H 1S4
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Country | CA
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Telephone | 519-433-8333
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | IL
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