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General NPI Number Information
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NPI Number | 1629956875
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Entity Type | Individual
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Provider Name | GABRIELLA PANOBIANCO
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 15-02 PARMELEE AVE
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City | FAIR LAWN
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State | NJ
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Zip | 07410-1915
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Country | US
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Telephone | 917-435-3417
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Fax |
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Provider Business Mailing Address
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Address Line | 15-02 PARMELEE AVE
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City | FAIR LAWN
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State | NJ
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Zip | 07410-1915
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Country | US
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Telephone | 917-435-3417
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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 | 163WX0002X
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Taxonomy Name | High-Risk Obstetric Registered Nurse
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License Number | 26NR22127300
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License Number State | NJ
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