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General NPI Number Information
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NPI Number | 1245452119
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Entity Type | Individual
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Provider Name | MICHELLE M GABAY NPP
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 526 OLD LIVERPOOL RD
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City | LIVERPOOL
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State | NY
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Zip | 13088-6238
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Country | US
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Telephone | 315-453-3911
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Fax |
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Provider Business Mailing Address
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Address Line | 79 GLENRIDGE RD
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City | SCHENECTADY
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State | NY
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Zip | 12302-4523
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Country | US
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Telephone | 518-952-8121
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F333905
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 247897
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F401591
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License Number State | NY
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