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General NPI Number Information
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NPI Number | 1932136173
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Entity Type | Individual
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Provider Name | DAVID JOEL ABBOTT MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 2525 FOX RUN PKWY SUITE 101
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City | YANKTON
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State | SD
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Zip | 57078-5371
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Country | US
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Telephone | 605-665-0062
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Fax | 605-665-0076
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Provider Business Mailing Address
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Address Line | 2525 FOX RUN PKWY SUITE 101
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City | YANKTON
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State | SD
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Zip | 57078-5371
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Country | US
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Telephone | 605-665-0062
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Fax | 605-665-0076
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 22982
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 5042
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License Number State | SD
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