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General NPI Number Information
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NPI Number | 1558548115
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Entity Type | Organization
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Legal Business Name | GABRIEL'S CARE
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 1427 E WASHINGTON ST
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City | GREENSBORO
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State | NC
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Zip | 27401-3451
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Country | US
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Telephone | 336-272-9963
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Fax | 336-272-9963
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Provider Business Mailing Address
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Address Line | PO BOX 1225
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City | GREENSBORO
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State | NC
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Zip | 27402-1225
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Country | US
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Telephone | 336-272-9963
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Fax | 336-272-9963
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GERALDINE SMITH ESTES
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Credential |
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Telephone | 336-402-1794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHL-041-846
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License Number State | NC
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