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General NPI Number Information
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NPI Number | 1447988696
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Entity Type | Individual
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Provider Name | ISABELLA MARIE GAMBOA PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 4411 HOWLEY ST
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City | PITTSBURGH
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State | PA
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Zip | 15224-1509
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Country | US
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Telephone | 412-621-9987
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Fax |
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Provider Business Mailing Address
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Address Line | 308 42ND ST
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City | PITTSBURGH
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State | PA
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Zip | 15201-1702
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Country | US
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Telephone | 915-479-2449
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP457015
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License Number State | PA
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