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General NPI Number Information
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NPI Number | 1376205468
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Entity Type | Individual
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Provider Name | HANA GABRIEL DDS
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Gender | Female
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 17245 17TH ST STE D
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City | TUSTIN
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State | CA
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Zip | 92780-1980
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Country | US
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Telephone | 669-377-4063
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Fax |
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Provider Business Mailing Address
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Address Line | 10064 ALBEE AVE
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City | TUSTIN
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State | CA
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Zip | 92782-1452
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Country | US
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Telephone | 669-377-4063
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 106301
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License Number State | CA
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