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General NPI Number Information
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NPI Number | 1235250978
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Entity Type | Organization
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Legal Business Name | GERALD L GILROY DO PC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 231 W LAKE LANSING RD SUITE 500 ASHER COURT
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City | EAST LANSING
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State | MI
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Zip | 48823-8472
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Country | US
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Telephone | 517-324-3278
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Fax | 517-324-3657
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Provider Business Mailing Address
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Address Line | 231 W LAKE LANSING RD SUITE 500 ASHER COURT
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City | EAST LANSING
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State | MI
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Zip | 48823-8472
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Country | US
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Telephone | 517-324-3278
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Fax | 517-324-3657
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Authorized Official
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Title or Position | OWNER
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Name | GERALD L GILROY
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Credential | D.O.
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Telephone | 517-324-3278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 5101006179
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License Number State | MI
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