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General NPI Number Information
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NPI Number | 1255440384
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Entity Type | Individual
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Provider Name | NORMAN B GAYLIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 2801 NE 213TH ST STE 801
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City | AVENTURA
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State | FL
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Zip | 33180-1264
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Country | US
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Telephone | 305-652-6676
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Fax | 305-932-6335
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Provider Business Mailing Address
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Address Line | 2801 NE 213TH ST STE 801
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City | AVENTURA
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State | FL
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Zip | 33180-1264
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Country | US
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Telephone | 305-652-6676
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Fax | 305-932-6335
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME31090
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License Number State | FL
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