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General NPI Number Information
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NPI Number | 1396377057
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Entity Type | Individual
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Provider Name | PAULA D GABRIEL
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Gender | Female
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 536 SIGNAL HILL DRIVE EXT
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City | STATESVILLE
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State | NC
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Zip | 28625-4391
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Country | US
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Telephone | 704-872-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 416 WEST AVE W
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City | TROUTMAN
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State | NC
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Zip | 28166-8618
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Country | US
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Telephone | 704-880-0812
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 26230
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 26230
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License Number State | NC
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