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General NPI Number Information
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NPI Number | 1992989909
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Entity Type | Organization
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Legal Business Name | JOSEPH P GABRYSZEWSKI
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 3 KIRCHNER AVE
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City | HYDE PARK
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State | NY
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Zip | 12538-1208
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Country | US
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Telephone | 845-229-0092
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Fax | 845-229-0093
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Provider Business Mailing Address
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Address Line | 3 KIRCHNER AVE
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City | HYDE PARK
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State | NY
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Zip | 12538-1208
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Country | US
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Telephone | 845-229-0092
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Fax | 845-229-0093
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH PAUL GABRYSZEWSKI
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Credential | DPM
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Telephone | 845-229-0092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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