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General NPI Number Information
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NPI Number | 1497928691
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Entity Type | Organization
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Legal Business Name | GABRIEL PLASTIC SURGERY, PS
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 505 NE 87TH AVE STE 250
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City | VANCOUVER
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State | WA
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Zip | 98664-1965
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Country | US
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Telephone | 360-514-2930
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Fax |
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Provider Business Mailing Address
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Address Line | 505 NE 87TH AVE STE 250
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City | VANCOUVER
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State | WA
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Zip | 98664-1965
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Country | US
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Telephone | 360-514-2930
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ALLEN GABRIEL
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Credential | MD
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Telephone | 360-514-2930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State | WA
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