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General NPI Number Information
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NPI Number | 1942365291
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Entity Type | Individual
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Provider Name | CARMELA ABRAHAM OD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 616 E STATE ST
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City | SALEM
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State | OH
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Zip | 44460-2935
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Country | US
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Telephone | 330-332-2080
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Fax | 330-332-2123
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Provider Business Mailing Address
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Address Line | 616 E STATE ST
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City | SALEM
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State | OH
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Zip | 44460-2935
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Country | US
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Telephone | 330-332-2080
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Fax | 330-332-2123
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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 | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 4169
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License Number State | OH
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