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General NPI Number Information
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NPI Number | 1003392838
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Entity Type | Individual
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Provider Name | GABRIEL PELAEZ PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2000 FOULK RD STE F
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City | WILMINGTON
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State | DE
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Zip | 19810-3642
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Country | US
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Telephone | 302-652-8990
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Fax | 302-652-8646
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Provider Business Mailing Address
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Address Line | 2852 SW 132ND PL
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City | MIAMI
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State | FL
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Zip | 33175-7115
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Country | US
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Telephone | 610-945-7950
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9111165
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License Number State | FL
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