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General NPI Number Information
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NPI Number | 1972476075
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Entity Type | Individual
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Provider Name | GABRIELLE SPENCER
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 101 GATEWAY DR
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City | MACON
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State | GA
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Zip | 31210-1141
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Country | US
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Telephone | 478-210-1670
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Fax |
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Provider Business Mailing Address
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Address Line | 4607 LIBRARY RD STE 220
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City | BETHEL PARK
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State | PA
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Zip | 15102-6909
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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 |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP458830
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License Number State | PA
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