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General NPI Number Information
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NPI Number | 1457314924
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Entity Type | Organization
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Legal Business Name | GAMAR LABORATORIES, INC
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 4325 SUN N LAKE BLVD SUITE 105
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City | SEBRING
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State | FL
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Zip | 33872-2171
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Country | US
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Telephone | 863-382-0355
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Fax | 863-382-4899
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Provider Business Mailing Address
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Address Line | 4325 SUN N LAKE BLVD SUITE 105
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City | SEBRING
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State | FL
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Zip | 33872-2171
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Country | US
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Telephone | 863-382-0355
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Fax | 863-382-4899
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/CHAIRMAN
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Name | DR. GABRIEL A PULIDO
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Credential | M.D.
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Telephone | 863-382-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 800012241
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License Number State | FL
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