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General NPI Number Information
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NPI Number | 1487282828
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Entity Type | Individual
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Provider Name | DAVID DANIEL GABBERT DO
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1620 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3801
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Country | US
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Telephone | 312-942-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 14512 MEADOW LN
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City | LEAWOOD
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State | KS
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Zip | 66224-4707
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036.172151
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License Number State | IL
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