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General NPI Number Information
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NPI Number | 1356910863
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Entity Type | Individual
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Provider Name | GABRIELA AMELIA SANGIOVANNI
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Gender | Female
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Dates
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Enumeration Date | 06/19/2021
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Last Update Date | 06/19/2021
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Provider Practice Location Address
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Address Line | 290 ALHAMBRA CIR
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City | CORAL GABLES
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State | FL
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Zip | 33134-5143
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Country | US
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Telephone | 305-239-8806
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Fax |
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Provider Business Mailing Address
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Address Line | 10874 SW 152ND PL
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City | MIAMI
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State | FL
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Zip | 33196-3572
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Country | US
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Telephone | 305-431-2190
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26021
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License Number State | FL
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