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General NPI Number Information
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NPI Number | 1861283517
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Entity Type | Organization
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Legal Business Name | GABRIEL COMMUNITY SERVICES INC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 11402 COVERED BRIDGE CT
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City | GLENN DALE
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State | MD
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Zip | 20769-9130
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Country | US
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Telephone | 301-814-0037
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Fax | 877-408-0066
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Provider Business Mailing Address
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Address Line | 11402 COVERED BRIDGE CT
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City | GLENN DALE
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State | MD
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Zip | 20769-9130
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Country | US
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Telephone | 240-584-8869
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Fax | 301-814-0037
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LUCY IMMI K
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Credential |
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Telephone | 240-584-8869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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