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General NPI Number Information
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NPI Number | 1063097392
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Entity Type | Individual
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Provider Name | EMIL EUGENE FRANZ GABUYA
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Gender | Male
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 22 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810-5945
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Country | US
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Telephone | 203-312-7910
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CHALMERS BLVD
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City | AMAWALK
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State | NY
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Zip | 10501-1216
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Country | US
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Telephone | 818-384-2098
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 12586
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License Number State | CT
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