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General NPI Number Information
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NPI Number | 1023737905
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Entity Type | Individual
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Provider Name | DAVID BRIAN GEBROE
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Gender | Male
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 4206 WOODRUFF AVE
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City | LAKEWOOD
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State | CA
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Zip | 90713-3143
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Country | US
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Telephone | 562-303-1436
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Fax |
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Provider Business Mailing Address
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Address Line | 3439 GUNDRY AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-4819
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Country | US
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Telephone | 323-365-0121
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 8326
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License Number State | CA
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