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General NPI Number Information
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NPI Number | 1063743854
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Entity Type | Individual
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Provider Name | MS. SHERINE E GILMOUR
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Gender | Female
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 220 5TH AVE SUITE 802
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City | NEW YORK
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State | NY
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Zip | 10001-7708
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Country | US
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Telephone | 347-461-2557
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Fax |
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Provider Business Mailing Address
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Address Line | 4407 4TH AVE APT. D3
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City | BROOKLYN
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State | NY
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Zip | 11220-1151
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Country | US
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Telephone | 347-461-2557
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 000686
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License Number State | NY
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