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General NPI Number Information
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NPI Number | 1487120358
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Entity Type | Individual
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Provider Name | GABRIELLE DORN MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 139 CENTRE ST PH 120
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City | NEW YORK
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State | NY
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Zip | 10013-4559
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 426 JENNELLE RD
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-7906
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Country | US
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Telephone | 540-750-5308
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R201501
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024193584
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201910216NP-PP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 830829
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License Number State | NY
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