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General NPI Number Information
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NPI Number | 1194558908
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Entity Type | Individual
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Provider Name | GABRIELE TWOHEY CADC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2024
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 2655 100TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-3808
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Country | US
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Telephone | 515-508-0961
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Fax | 515-564-7101
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Provider Business Mailing Address
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Address Line | 2655 100TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-3808
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Country | US
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Telephone | 515-508-0961
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Fax | 515-564-7101
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 01084
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License Number State | IA
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