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General NPI Number Information
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NPI Number | 1083717565
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Entity Type | Individual
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Provider Name | JAMES E GIBBS MD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 2450 MASON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5110
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Country | US
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Telephone | 386-676-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 S RIDGEWOOD AVE UNIT 408
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City | SOUTH DAYTONA
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State | FL
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Zip | 32119-3505
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Country | US
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Telephone | 216-538-4729
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2014-02167
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 24750
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.043934
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 37406
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101256861
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 072607
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 51945
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License Number State | TN
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 16754
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License Number State | NH
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47505
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License Number State | KY
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD042677
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License Number State | DC
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-10326
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License Number State | AR
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME108274
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License Number State | FL
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