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NPI Profile for Dr CHARLES ABAVAREDO in TUPELO, MS.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1790081156 |
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| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 02/02/2011 | |
| Last updated | 02/02/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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CHARLES ABAVAREDO
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CHARLES ABAVAREDO, DO