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General NPI Number Information
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NPI Number | 1972787620
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Entity Type | Organization
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Legal Business Name | GEORGE E ABBOUD MD PA
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 481 ALFRED ROAD
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City | BIDDEFORD
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State | ME
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Zip | 04005-9473
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Country | US
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Telephone | 207-283-4395
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Fax | 207-283-1016
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Provider Business Mailing Address
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Address Line | PO BOX 950
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City | BIDDEFORD
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State | ME
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Zip | 04005-0950
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Country | US
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Telephone | 207-283-4935
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Fax | 207-283-1016
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE E ABBOUD
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Credential | MD PA
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Telephone | 207-283-4395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 011277
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License Number State | ME
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