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General NPI Number Information
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NPI Number | 1669605135
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Entity Type | Organization
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Legal Business Name | GABRIEL PAIN AND SPINE CENTER, P.C.
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 100 HIGHTOWER BLVD SUITE 200
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City | PITTSBURGH
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State | PA
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Zip | 15205-1134
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Country | US
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Telephone | 412-490-0400
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Fax | 412-490-0300
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Provider Business Mailing Address
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Address Line | 109 MOUNT WOOD RD
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City | WHEELING
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State | WV
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Zip | 26003-2632
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Country | US
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Telephone | 304-233-2455
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Fax | 304-233-6073
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HANI F GABRIEL
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Credential | MD
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Telephone | 412-490-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD425492
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License Number State | PA
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