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General NPI Number Information
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NPI Number | 1356094783
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Entity Type | Organization
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Legal Business Name | GABRIEL M HAYEK DMD
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 1009 MAIN AVE
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City | WARWICK
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State | RI
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Zip | 02886-1972
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Country | US
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Telephone | 401-737-1929
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Fax | 401-737-2140
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Provider Business Mailing Address
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Address Line | 1009 MAIN AVE
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City | WARWICK
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State | RI
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Zip | 02886-1972
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Country | US
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Telephone | 401-737-1929
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Fax | 401-737-2140
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Authorized Official
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Title or Position | OWNER
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Name | DR. GABRIEL MICHAEL HAYEK
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Credential | DMD
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Telephone | 401-737-1929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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