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General NPI Number Information
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NPI Number | 1982806287
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Entity Type | Individual
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Provider Name | BEVERLY RAE ABRAMOWITZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 1780 VERNON ST STE 1
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City | ROSEVILLE
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State | CA
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Zip | 95678-6311
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Country | US
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Telephone | 916-782-1111
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Fax | 916-782-4544
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Provider Business Mailing Address
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Address Line | 9317 WINDING OAK DR
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City | FAIR OAKS
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State | CA
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Zip | 95628-4155
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Country | US
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Telephone | 916-215-3338
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Fax | 916-568-1802
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A63502
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A63502
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License Number State | CA
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