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General NPI Number Information
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NPI Number | 1295754448
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Entity Type | Individual
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Provider Name | GABRIELLE DECOURTEN-MYERS MD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 231 ALBERT SABIN WAY DEPARTMENT OF PATHOLOGY
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City | CINCINNATI
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State | OH
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Zip | 45267-0001
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Country | US
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Telephone | 513-558-4500
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Fax | 513-558-2289
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Provider Business Mailing Address
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Address Line | 2600 EUCLID AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2102
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Country | US
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Telephone | 513-618-2848
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Fax | 513-618-2849
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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 | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number | 35-04-8558-D
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License Number State | OH
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