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General NPI Number Information
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NPI Number | 1376790246
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Entity Type | Individual
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Provider Name | GABRIELA YAVICH PHARM D
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Gender | Female
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 7124 BAY PKWY
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City | BROOKLYN
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State | NY
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Zip | 11204-6016
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Country | US
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Telephone | 718-236-3274
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Fax | 718-236-6630
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Provider Business Mailing Address
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Address Line | 7526 BELL BLVD APT. 3A
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3453
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Country | US
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Telephone | 347-239-5404
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Fax | 718-236-6630
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 047769
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License Number State | NY
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