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General NPI Number Information
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NPI Number | 1447046107
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Entity Type | Individual
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Provider Name | GABRIEL HENOCK GIAMINARDI-BEKELE
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Gender | Male
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 5723 MELROSE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90038-3890
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Country | US
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Telephone | 424-428-9058
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 N POINSETTIA PL APT 324
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City | LOS ANGELES
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State | CA
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Zip | 90046-8205
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Country | US
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Telephone | 424-428-9058
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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