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General NPI Number Information
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NPI Number | 1538360417
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Entity Type | Individual
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Provider Name | ADRIANA GABALDON DDS
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 3600 BROADWAY STE A
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City | FORT MYERS
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State | FL
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Zip | 33901-8002
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Country | US
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Telephone | 239-344-2335
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Fax | 239-936-6228
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Provider Business Mailing Address
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Address Line | 21571 BELLA TERRA BLVD
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City | ESTERO
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State | FL
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Zip | 33928-7345
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Country | US
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Telephone | 305-764-9321
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DRP 496
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License Number State | FL
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