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General NPI Number Information
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NPI Number | 1275626541
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Entity Type | Organization
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Legal Business Name | GABRIEL G. CARABELLO, MD INC
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Dates
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Enumeration Date | 10/01/2006
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 1700 E. CESAR CHAVEZ AVENUE STE. 2450
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City | LOS ANGELES
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State | CA
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Zip | 90033-2434
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Country | US
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Telephone | 213-483-4559
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Fax | 213-413-0819
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Provider Business Mailing Address
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Address Line | 1700 E. CESAR CHAVEZ AVENUE STE. 2450
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City | LOS ANGELES
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State | CA
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Zip | 90033-2434
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Country | US
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Telephone | 213-483-4559
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Fax | 213-413-0819
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Authorized Official
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Title or Position | PRESIDENT
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Name | GABRIEL G. CARABELLO
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Credential | MD
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Telephone | 213-483-4559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | G52810
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License Number State | CA
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