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General NPI Number Information
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NPI Number | 1588919724
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Entity Type | Individual
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Provider Name | HEATHER ANNE GABLER DMD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 3615 DUPONT AVE STE 200-400
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2790
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Country | US
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Telephone | 888-954-5764
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Fax |
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Provider Business Mailing Address
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Address Line | 926 GREAT POND DR STE 2003
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-7244
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN 20583
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License Number State | FL
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