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General NPI Number Information
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NPI Number | 1265524110
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Entity Type | Individual
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Provider Name | JOHN GABRIEL MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | G11 BRIER HILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3338
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Country | US
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Telephone | 732-698-0082
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Fax | 732-698-0679
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Provider Business Mailing Address
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Address Line | 7 TIMBER GROVE CT
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3570
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Country | US
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Telephone | 732-698-0082
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Fax | 732-698-0679
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 241288
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA08093900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 25MA08093900
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License Number State | NJ
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