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General NPI Number Information
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NPI Number | 1902288897
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Entity Type | Organization
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Legal Business Name | DAVID A ABRAMS D.M.D. A DENTAL CORPORATION
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 6451 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-4627
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Country | US
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Telephone | 323-728-0241
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Fax | 323-728-7873
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Provider Business Mailing Address
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Address Line | 6451 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-4627
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Country | US
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Telephone | 323-728-0241
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Fax | 323-728-7873
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. DAVID A. ABRAMS
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Credential | D.M.D.
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Telephone | 323-728-0241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 30198
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License Number State | CA
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