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General NPI Number Information
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NPI Number | 1033210620
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Entity Type | Individual
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Provider Name | GABRIELA LEMOINE M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 7305 N MILITARY TRAIL WEST PALM BEACH VA MEDICAL CENTER
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City | WEST PALM BEACH
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State | FL
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Zip | 33410
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Country | US
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Telephone | 561-422-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 529 S FLAGLER DR APT 20E
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-5928
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Country | US
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Telephone | 561-313-5829
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 01060969A
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License Number State | IN
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