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General NPI Number Information
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NPI Number | 1851959498
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Entity Type | Individual
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Provider Name | GABRIEL MICHAEL MERIWETHER
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Gender | Male
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2080 CHILD STREES
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City | JACKSONVILLE
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State | FL
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Zip | 32214-4336
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Country | US
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Telephone | 904-542-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1561 ARIES CT
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City | ORANGE PARK
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State | FL
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Zip | 32073-6001
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Country | US
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Telephone | 231-350-8485
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 43156
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License Number State | FL
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