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General NPI Number Information
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NPI Number | 1154406072
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Entity Type | Individual
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Provider Name | NATALIE GABINSKIY PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13 RESERVOIR ROAD
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City | MCELHATTAN
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State | PA
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Zip | 17748
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Country | US
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Telephone | 570-769-7629
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Fax | 570-769-7630
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Provider Business Mailing Address
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Address Line | PO BOX 430
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City | AVIS
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State | PA
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Zip | 17721-0430
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Country | US
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Telephone | 570-753-8620
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Fax | 570-753-5489
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MA052349
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License Number State | PA
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