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General NPI Number Information
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NPI Number | 1063699338
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Entity Type | Organization
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Legal Business Name | ROBERT L. GILFERT, DPM
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 4305 FASSETT LN
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City | WELLSVILLE
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State | NY
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Zip | 14895-9327
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Country | US
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Telephone | 585-593-3900
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Fax | 585-593-3901
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Provider Business Mailing Address
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Address Line | 4305 FASSETT LN
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City | WELLSVILLE
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State | NY
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Zip | 14895-9327
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Country | US
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Telephone | 585-593-3900
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Fax | 585-593-3901
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT L GILFERT
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Credential | DPM
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Telephone | 585-593-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N004553-1
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License Number State | NY
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