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General NPI Number Information
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NPI Number | 1972657385
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Entity Type | Organization
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Legal Business Name | CECIL ABRAHAM, D.D.S., P.A.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 6705 RED RD SUITE 614
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City | CORAL GABLES
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State | FL
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Zip | 33143-3649
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Country | US
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Telephone | 305-668-1811
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Fax | 305-668-1807
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Provider Business Mailing Address
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Address Line | 6705 RED RD SUITE 614
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City | CORAL GABLES
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State | FL
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Zip | 33143-3649
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Country | US
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Telephone | 305-668-1811
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Fax | 305-668-1807
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CECIL ABRAHAM
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Credential | D.D.S.
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Telephone | 305-668-1811
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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 | 9962
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License Number State | FL
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