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General NPI Number Information
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NPI Number | 1023705019
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Entity Type | Individual
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Provider Name | GABRIELLE MORALES FNP-C, RN
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Gender | Female
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 501 N CASS LAKE RD
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City | WATERFORD
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State | MI
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Zip | 48328-2307
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Country | US
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Telephone | 248-724-7600
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Fax | 248-682-1089
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Provider Business Mailing Address
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Address Line | PO BOX 430150
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City | PONTIAC
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State | MI
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Zip | 48343-0150
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Country | US
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Telephone | 313-510-6733
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Fax | 248-682-1089
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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 | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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License Number | 4704334458
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704334458NSA230A9
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License Number State | MI
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