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General NPI Number Information
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NPI Number | 1336391960
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Entity Type | Organization
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Legal Business Name | GABRIEL G. PAI, M.D. INC.
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 2103 MONTROSE AVE SUITE D
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City | MONTROSE
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State | CA
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Zip | 91020-1546
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Country | US
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Telephone | 818-957-2066
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Fax |
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Provider Business Mailing Address
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Address Line | 10001 VENICE BLVD UNIT 402
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City | LOS ANGELES
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State | CA
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Zip | 90034-6493
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Country | US
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Telephone | 310-818-5718
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GABRIEL GARBIC PAI
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Credential | M.D.
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Telephone | 310-818-5718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A86139
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License Number State | CA
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