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NPI 1073536389

NPI 1073536389 : LORI J GILBERT MD : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1073536389
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    Entity Type          |    Individual 
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    Provider Name        |    LORI J GILBERT MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2006
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    Last Update Date     |    09/12/2019
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Provider Practice Location Address
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    Address Line         |    1835 ARCH ST APT 610 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19103-2776
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    Country              |    US
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    Telephone            |    267-242-4461
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1835 ARCH ST #610
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19193-0001
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    Country              |    US
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    Telephone            |    267-242-4461
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    C1-0013164
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    MD421345
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    License Number State |    PA
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