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General NPI Number Information
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NPI Number | 1831513175
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Entity Type | Individual
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Provider Name | GABRIEL RESTREPO CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 100 E CARROLL STREET
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 410-543-7375
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Fax |
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Provider Business Mailing Address
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Address Line | 1613 N. HARRISON PARKWAY SUITE 200, MAILSTOP SH-9A
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City | SUNRISE
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State | FL
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Zip | 33323-2896
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Country | US
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Telephone | 954-838-2371
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Fax | 954-851-1746
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R197720
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024175213
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R197720
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License Number State | MD
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