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General NPI Number Information
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NPI Number | 1770325128
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Entity Type | Organization
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Legal Business Name | GABRIEL'S NEST SIL INC
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 18984 MURRAY HILL ST
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City | DETROIT
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State | MI
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Zip | 48235-3019
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Country | US
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Telephone | 313-272-0611
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Fax |
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Provider Business Mailing Address
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Address Line | 6725 DALY RD UNIT 250275
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City | W BLOOMFIELD
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State | MI
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Zip | 48325-3213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JERMAINE GABRIEL
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Credential |
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Telephone | 248-789-8769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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