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NPI 1700294766

NPI 1700294766 : ANTHONY PAUL GABRIEL D.M.D. : NORCO, CA

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General NPI Number Information
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    NPI Number           |    1700294766
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY PAUL GABRIEL D.M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/23/2014
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    Last Update Date     |    08/03/2025
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Provider Practice Location Address
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    Address Line         |    1540 HAMNER AVE STE 103 
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    City                 |    NORCO
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    State                |    CA
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    Zip                  |    92860-2914
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    Country              |    US
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    Telephone            |    951-256-4204
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1540 HAMNER AVE STE 103 
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    City                 |    NORCO
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    State                |    CA
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    Zip                  |    92860-2914
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    Country              |    US
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    Telephone            |    951-256-4204
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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        |    1223P0700X
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    Taxonomy Name        |    Prosthodontics
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    License Number       |    65291
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    License Number State |    CA
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