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General NPI Number Information
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NPI Number | 1992272140
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Entity Type | Individual
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Provider Name | GABRIEL CLAUDIO
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Gender | Male
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 871 OLD ALICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8268
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Country | US
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Telephone | 956-541-2102
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Fax |
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Provider Business Mailing Address
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Address Line | 28571 CALLE MAGUEY
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City | SAN BENITO
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State | TX
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Zip | 78586-5762
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Country | US
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Telephone | 956-456-7653
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 215436
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License Number State | TX
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