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General NPI Number Information
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NPI Number | 1417737230
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Entity Type | Individual
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Provider Name | MADISON MAE GABRIELLI WHNP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 1225 4TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-3431
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Country | US
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Telephone | 202-347-8512
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Fax | 202-290-2744
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Provider Business Mailing Address
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Address Line | 1225 4TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-3431
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 24188883
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R258106
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP1057601
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R258106
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1316560
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1057601
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License Number State | DC
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