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General NPI Number Information
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NPI Number | 1740801786
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Entity Type | Individual
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Provider Name | GABRIELE R SERPAS DNP APRN AG-CNS
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Gender | Female
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 15243 LA HIGHWAY 10
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City | SAINT FRANCISVILLE
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State | LA
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Zip | 70775-4752
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Country | US
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Telephone | 504-458-0071
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2494
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City | CHALMETTE
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State | LA
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Zip | 70044-2494
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Country | US
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Telephone | 504-458-0071
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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 | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 209071
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License Number State | LA
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