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General NPI Number Information
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NPI Number | 1003143033
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Entity Type | Individual
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Provider Name | JAMES MICHAEL GAGNIER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 11/13/2009
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Provider Practice Location Address
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Address Line | 61 MONROE AVE SUITE B
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City | PITTSFORD
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State | NY
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Zip | 14534-1311
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Country | US
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Telephone | 585-586-5166
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Fax |
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Provider Business Mailing Address
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Address Line | 61 MONROE AVE SUITE B
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City | PITTSFORD
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State | NY
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Zip | 14534-1311
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Country | US
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Telephone | 585-586-5166
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | D39437
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License Number State | MD
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