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General NPI Number Information
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NPI Number | 1831930692
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Entity Type | Individual
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Provider Name | GABRIELLE M SHEEHAN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 901 ROUTE NJ-168 SUITE 501
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City | TURNERSVILLE
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State | NJ
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Zip | 08012
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Country | US
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Telephone | 856-228-6688
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Fax |
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Provider Business Mailing Address
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Address Line | 517 RIGGS AVE
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City | BERLIN
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State | NJ
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Zip | 08009-2712
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Country | US
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Telephone | 856-889-5805
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI03031300
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License Number State | NJ
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