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General NPI Number Information
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NPI Number | 1023091949
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Entity Type | Individual
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Provider Name | MALINI C. GILLEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2 MEEHAN LN
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City | CUMBERLAND
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State | RI
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Zip | 02864-1413
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Country | US
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Telephone | 401-658-2525
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Fax | 401-658-3031
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Provider Business Mailing Address
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Address Line | 2 MEEHAN LN
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City | CUMBERLAND
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State | RI
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Zip | 02864-1413
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Country | US
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Telephone | 401-658-2525
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Fax | 401-658-3031
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | MD10597
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License Number State | RI
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