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General NPI Number Information
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NPI Number | 1871064147
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Entity Type | Individual
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Provider Name | MICHAEL D GABOR JR. FNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 7265 OLD OAK BLVD
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City | CLEVELAND
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State | OH
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Zip | 44130-3342
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Country | US
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Telephone | 440-816-5790
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 CHAPMAN LN UNIT 5
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City | MEDINA
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State | OH
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Zip | 44256-6743
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Country | US
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Telephone | 216-210-6666
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.023798
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License Number State | OH
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