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General NPI Number Information
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NPI Number | 1780162289
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Entity Type | Individual
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Provider Name | GABRIELLA KATHLEEN KUEBER
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Gender | Female
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 3978 SORRENTO VALLEY BLVD STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92121-1436
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Country | US
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Telephone | 858-353-7723
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Fax |
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Provider Business Mailing Address
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Address Line | 2259 WIND RIVER RD
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City | EL CAJON
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State | CA
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Zip | 92019-4142
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Country | US
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Telephone | 928-550-3445
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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