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General NPI Number Information
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NPI Number | 1952087355
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Entity Type | Individual
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Provider Name | ABIGALE ENRICI DDS
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Gender | Female
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | FLEET HEALTH SERVICES - US FLEET FORCES COMMAND 1562 MITSCHER AVE, STE. 250
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City | NORFOLK
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State | VA
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Zip | 23551
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Country | US
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Telephone | 757-836-5929
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Fax |
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Provider Business Mailing Address
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Address Line | USS JOHN C STENNIS CVN-74 UNIT 100175 BOX 2669
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City | FPO
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State | AE
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Zip | 09512
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D14933
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License Number State | MN
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