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General NPI Number Information
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NPI Number | 1942322060
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Entity Type | Organization
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Legal Business Name | RODNEY A GABRIEL M.D. INC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 444 S. SAN VICENTE BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 310-423-9788
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Fax | 310-423-9958
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Provider Business Mailing Address
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Address Line | 444 S. SAN VICENTE BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL
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Name | RONALD A GABRIEL
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Credential |
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Telephone | 310-423-9788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | G56204
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License Number State | CA
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