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General NPI Number Information
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NPI Number | 1205879947
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Entity Type | Individual
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Provider Name | CHARLES L GADOL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 701 N BROADWAY
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1020
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Country | US
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Telephone | 914-366-3000
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Fax | 914-366-1522
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Provider Business Mailing Address
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Address Line | 701 N BROADWAY
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1020
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Country | US
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Telephone | 914-366-3000
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Fax | 914-366-1522
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA04742700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 243970
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License Number State | NY
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