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General NPI Number Information
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NPI Number | 1427305424
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Entity Type | Individual
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Provider Name | GABRIELA ROSAS DMD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 10009 N LAMAR BLVD STE C
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City | AUSTIN
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State | TX
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Zip | 78753-4117
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Country | US
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Telephone | 512-491-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 1743 WESTMEADOW TRL
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City | ROUND ROCK
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State | TX
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Zip | 78665-1238
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Country | US
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Telephone | 201-707-1674
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 28101
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License Number State | TX
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