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General NPI Number Information
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NPI Number | 1447449194
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Entity Type | Organization
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Legal Business Name | PATRICIA GABRIEL DO ASSOCIATES LLC
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 1841 W 25TH ST STE B
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City | YUMA
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State | AZ
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Zip | 85364-6910
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Country | US
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Telephone | 928-726-9000
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Fax | 928-726-7535
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Provider Business Mailing Address
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Address Line | PO BOX 13003
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City | YUMA
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State | AZ
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Zip | 85366-3002
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Country | US
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Telephone | 928-726-9000
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Fax | 928-726-7535
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICIA ELISE GABRIEL
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Credential | D.O.
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Telephone | 928-726-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 3144
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License Number State | AZ
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