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General NPI Number Information
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NPI Number | 1316809783
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Entity Type | Organization
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Legal Business Name | GAP MEDICAL, PC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 284 W SHAW AVE
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City | CLOVIS
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State | CA
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Zip | 93612-3601
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Country | US
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Telephone | 201-474-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 1968 S COAST HWY # 4889
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-3681
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GABRIEL SALAS
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Credential |
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Telephone | 201-474-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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