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General NPI Number Information
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NPI Number | 1083076657
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Entity Type | Individual
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Provider Name | SEBASTIAN GABRIEL DE LA CALLE AU.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL USAG-HUMPHREYS, BLDG # 3030, UNIT 15245
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City | APO
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State | AP
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Zip | 96271-5245
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Country | US
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Telephone | 315-737-2836
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Fax |
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Provider Business Mailing Address
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Address Line | BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL USAG-HUMPHREYS, BLDG # 3030, UNIT 15245
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City | APO
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State | AP
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Zip | 96271-5245
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY1930
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License Number State | FL
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