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General NPI Number Information
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NPI Number | 1639088438
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Entity Type | Individual
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Provider Name | MADLINE W GABRA
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Gender | Female
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Dates
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Enumeration Date | 09/05/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 465 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032-2702
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Country | US
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Telephone | 201-428-2376
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Fax |
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Provider Business Mailing Address
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Address Line | 310 IVY ST
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City | KEARNY
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State | NJ
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Zip | 07032-3502
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Country | US
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Telephone | 201-844-7323
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI04508100
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License Number State | NJ
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