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General NPI Number Information
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NPI Number | 1679461776
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Entity Type | Individual
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Provider Name | SARA GAIBIE DMD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 102 FORD ST
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City | OGDENSBURG
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State | NY
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Zip | 13669-1402
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Country | US
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Telephone | 315-713-9350
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Fax |
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Provider Business Mailing Address
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Address Line | 615 BARRY HELMAN CRESCENT
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City | NEPEAN
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State | ONTARIO
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Zip | K2J0R1
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Country | CA
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 064642
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License Number State | NY
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