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General NPI Number Information
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NPI Number | 1639366701
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Entity Type | Organization
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Legal Business Name | GILBERT G. MAKABALI, MD PC
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 1471 BAY BLVD
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City | ATLANTIC BEACH
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State | NY
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Zip | 11509-1604
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Country | US
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Telephone | 516-569-2828
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Fax | 516-295-4145
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Provider Business Mailing Address
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Address Line | 1471 BAY BLVD
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City | ATLANTIC BEACH
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State | NY
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Zip | 11509-1604
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Country | US
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Telephone | 516-569-2828
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Fax | 516-295-4145
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Authorized Official
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Title or Position | OWNER
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Name | GILBERT G. MAKABALI
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Credential | M.D.
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Telephone | 516-569-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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