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General NPI Number Information
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NPI Number | 1851588222
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Entity Type | Individual
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Provider Name | GABRIEL BARRERA P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 15421 E GALE AVE UNIT 92125
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91715-3896
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Country | US
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Telephone | 626-290-7055
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Fax | 800-448-1194
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Provider Business Mailing Address
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Address Line | 15421 E GALE AVE UNIT 92125
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91715-3896
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Country | US
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Telephone | 626-290-7055
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Fax | 800-448-1194
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19359
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License Number State | CA
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