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General NPI Number Information
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NPI Number | 1396288494
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Entity Type | Individual
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Provider Name | JOHN GABRIELLI
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Gender | Male
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 967 NEWBRIDGE RD
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1620
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Country | US
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Telephone | 516-508-1554
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Fax | 516-826-1461
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Provider Business Mailing Address
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Address Line | 967 NEWBRIDGE RD
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1620
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Country | US
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Telephone | 516-508-1554
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 029888
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License Number State | NY
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