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General NPI Number Information
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NPI Number | 1942591383
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Entity Type | Individual
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Provider Name | GABRIEL BRYAN WINBERRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2011
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 23 SUNNYBROOK RD STE 200
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City | RALEIGH
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State | NC
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Zip | 27610-1855
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Country | US
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Telephone | 919-235-6435
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 HIGHWOODS BLVD
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City | RALEIGH
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State | NC
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Zip | 27604-0010
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Country | US
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Telephone | 877-498-4490
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 51404
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 2017-00349
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License Number State | NC
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