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General NPI Number Information
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NPI Number | 1033138086
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Entity Type | Organization
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Legal Business Name | GABRIEL M DESCHAMPS MD PA
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 2735 PONCE DE LEON BLVD
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City | CORAL GABLES
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State | FL
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Zip | 33134-6004
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Country | US
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Telephone | 305-447-4923
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Fax | 305-447-8638
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Provider Business Mailing Address
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Address Line | 2735 PONCE DE LEON BLVD
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City | CORAL GABLES
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State | FL
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Zip | 33134-6004
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Country | US
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Telephone | 305-447-4923
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Fax | 305-447-8638
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Authorized Official
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Title or Position | MD
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Name | GABRIEL DESCHAMPS
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Credential | MD PA
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Telephone | 305-447-4923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME76219
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License Number State | FL
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