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General NPI Number Information
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NPI Number | 1063466621
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Entity Type | Individual
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Provider Name | GLADYS TELANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 400 BALD HILL RD FL 2
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City | WARWICK
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State | RI
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Zip | 02886-1617
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Country | US
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Telephone | 401-444-7959
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Fax | 401-738-3857
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Provider Business Mailing Address
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Address Line | 15 LA SALLE SQ
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City | PROVIDENCE
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State | RI
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Zip | 02903-1814
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Country | US
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Telephone | 401-444-6779
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Fax | 401-444-6912
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD10812
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | MD10812
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License Number State | RI
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