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General NPI Number Information
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NPI Number | 1205039534
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Entity Type | Individual
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Provider Name | MICHAEL ANDREW GILBERT DO
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 1600 N 2ND ST
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City | CLINTON
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State | MO
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Zip | 64735-1192
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Country | US
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Telephone | 660-885-5511
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Fax | 660-885-8496
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Provider Business Mailing Address
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Address Line | PO BOX 548
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City | CLINTON
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State | MO
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Zip | 64735-0548
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Country | US
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Telephone | 816-309-0849
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2008015641
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2012008859
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License Number State | MO
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