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General NPI Number Information
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NPI Number | 1801067194
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Entity Type | Organization
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Legal Business Name | GABRIEL F DELGADO DPM PA
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 09/17/2016
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Provider Practice Location Address
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Address Line | 203 KERNEYWOOD ST
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City | LAKELAND
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State | FL
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Zip | 33803-2947
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Country | US
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Telephone | 863-686-1641
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Fax | 863-802-5693
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Provider Business Mailing Address
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Address Line | 203 KERNEYWOOD STREET
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City | LAKELAND
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State | FL
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Zip | 33803-2947
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Country | US
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Telephone | 863-686-1641
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Fax | 863-802-5693
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Authorized Official
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Title or Position | OWNER
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Name | DR. GABRIEL FELIX DELGADO
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Credential | DPM
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Telephone | 863-686-1641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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