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General NPI Number Information
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NPI Number | 1194929851
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Entity Type | Individual
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Provider Name | GABRIELA HRICKO D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 515 MADISON AVE SUITE 3900
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City | NEW YORK
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State | NY
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Zip | 10022-5403
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Country | US
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Telephone | 212-935-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 357 BRITTANY FARMS RD #339
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City | NEW BRITAIN
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State | CT
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Zip | 06053-1102
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Country | US
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Telephone | 917-734-5053
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 050414
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License Number State | NY
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