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General NPI Number Information
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NPI Number | 1194862854
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Entity Type | Organization
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Legal Business Name | GREGORY FAMILY MEDICINE
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3131 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1175
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Country | US
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Telephone | 724-652-3505
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1175
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Country | US
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Telephone | 724-652-3505
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMES GORDON GREGORY
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Credential | M.D.
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Telephone | 724-652-3505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD065489L
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License Number State | PA
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