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General NPI Number Information
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NPI Number | 1386841922
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Entity Type | Organization
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Legal Business Name | A GABY MED SERV INC
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | CALLE JOSE I QUINTON #65
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-825-0643
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Fax | 787-825-2352
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Provider Business Mailing Address
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Address Line | PO BOX 1865
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City | COAMO
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State | PR
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Zip | 00769-1865
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Country | US
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Telephone | 787-825-0643
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Fax | 787-825-2352
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Authorized Official
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Title or Position | PRESIDENTE
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Name | EDWIN COIMBRE
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Credential | MD
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Telephone | 787-825-0643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 8370
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License Number State | PR
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