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General NPI Number Information
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NPI Number | 1073825444
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Entity Type | Individual
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Provider Name | SUKHDEEP GILL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 541 CLINICAL DRIVE, ROOM 370 INDIANA UNIVERSITY SCHOOL OF MEDICINE
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 314-616-5305
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Fax |
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Provider Business Mailing Address
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Address Line | 402 W NEW YORK ST APT 301
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-3296
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Country | US
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Telephone | 314-616-5305
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2010017399
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 11017350A
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License Number State | IN
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