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General NPI Number Information
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NPI Number | 1770461832
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Entity Type | Individual
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Provider Name | GABRIEL MENDEZ RN
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Gender | Male
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 2801 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-1701
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Country | US
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Telephone | 562-933-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 14917 BLEEKER ST
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City | SYLMAR
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State | CA
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Zip | 91342-5235
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Country | US
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Telephone | 818-422-8564
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95274798
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License Number State | CA
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