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General NPI Number Information
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NPI Number | 1518622323
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Entity Type | Individual
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Provider Name | JODI K GABRIEL APRN
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Gender | Female
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 5210 E WILLIAMS CIR STE 620
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City | TUCSON
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State | AZ
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Zip | 85711-8008
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Country | US
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Telephone | 520-428-8828
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Fax |
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Provider Business Mailing Address
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Address Line | 394 N WHITE MARBLE AVE
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City | TUCSON
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State | AZ
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Zip | 85748-0029
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Country | US
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Telephone | 402-686-9363
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 307440
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 113896
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License Number State | NE
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