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General NPI Number Information
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NPI Number | 1346463668
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Entity Type | Individual
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Provider Name | GABRIEL SAUL GORIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5700 FITZHUGH AVE
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City | RICHMOND
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State | VA
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Zip | 23226-1800
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Country | US
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Telephone | 860-707-4842
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Fax | 818-671-2225
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Provider Business Mailing Address
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Address Line | PO BOX 3162
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City | GLEN ALLEN
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State | VA
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Zip | 23058-3162
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Country | US
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Telephone | 860-707-4842
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Fax | 818-671-2225
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 045343
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0101246326
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License Number State | VA
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