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General NPI Number Information
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NPI Number | 1376967984
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Entity Type | Organization
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Legal Business Name | GABRIEL, JULIET S. DBA GABRIEL CARE HOME
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 94-1034 AWANANI ST
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City | WAIPAHU
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State | HI
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Zip | 96797-3248
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Country | US
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Telephone | 808-587-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 94-1034 AWANANI ST
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City | WAIPAHU
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State | HI
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Zip | 96797-3248
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Country | US
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Telephone | 808-587-4242
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIET GABRIEL
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Credential |
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Telephone | 808-587-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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