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General NPI Number Information
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NPI Number | 1619363751
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Entity Type | Individual
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Provider Name | LAUREN N GABRESKI MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 48 MDG/RAF LAKENHEATH, UNIT 5115
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City | APO
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State | AE
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Zip | 09461
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Country | US
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Telephone | 314-226-8010
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Fax |
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Provider Business Mailing Address
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Address Line | 48 MDG/RAF LAKENHEATH, UNIT 5115
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City | APO
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State | AE
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Zip | 09461
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Country | US
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Telephone | 314-226-8010
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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 | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | ME130554
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License Number State | FL
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