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General NPI Number Information
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NPI Number | 1033112354
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Entity Type | Individual
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Provider Name | SHARI ROSENBERG GABRIEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 6400 DUTCHMANS PKWY STE 215
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City | LOUISVILLE
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State | KY
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Zip | 40205-3343
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Country | US
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Telephone | 502-721-8288
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Fax | 502-721-8792
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Provider Business Mailing Address
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Address Line | 6400 DUTCHMANS PKWY STE 215
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City | LOUISVILLE
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State | KY
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Zip | 40205-3343
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Country | US
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Telephone | 502-721-8288
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Fax | 502-721-8792
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 31883
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 31883
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License Number State | KY
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