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General NPI Number Information
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NPI Number | 1831311539
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Entity Type | Organization
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Legal Business Name | GABRIELLE S SCHAEFER MD PSC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 5565 W LAS POSITAS BLVD STE 200
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City | PLEASANTON
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State | CA
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Zip | 94588-5806
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Country | US
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Telephone | 925-251-1010
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Fax | 925-251-1017
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Provider Business Mailing Address
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Address Line | 5565 W LAS POSITAS BLVD STE 200
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City | PLEASANTON
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State | CA
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Zip | 94588-5806
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Country | US
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Telephone | 925-251-1010
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Fax | 925-251-1017
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Authorized Official
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Title or Position | OWNER
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Name | GABRIELLE S SCHAEFER
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Credential | MD
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Telephone | 925-251-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | A87289
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License Number State | CA
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