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General NPI Number Information
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NPI Number | 1427210657
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Entity Type | Organization
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Legal Business Name | THE GABRIEL FOUNDATION
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Dates
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Enumeration Date | 06/29/2008
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Last Update Date | 06/29/2008
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Provider Practice Location Address
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Address Line | 5821 HESTER RD
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City | OXFORD
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State | OH
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Zip | 45056-1390
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Country | US
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Telephone | 513-523-1969
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 168
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City | OXFORD
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State | OH
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Zip | 45056-0168
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Country | US
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Telephone | 513-523-1969
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHARLES GILL
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Credential | MA
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Telephone | 513-461-1512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5465
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License Number State | NC
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