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General NPI Number Information
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NPI Number | 1235474248
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Entity Type | Individual
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Provider Name | ROBERT D GAMOTIS D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2012
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Last Update Date | 12/02/2012
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Provider Practice Location Address
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Address Line | 1700 6TH AVE N
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City | BESSEMER
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State | AL
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Zip | 35020-4849
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Country | US
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Telephone | 205-565-1012
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Fax |
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Provider Business Mailing Address
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Address Line | 2013 4TH PL S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-6925
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Country | US
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Telephone | 334-559-1981
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5910 C1
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License Number State | AL
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