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General NPI Number Information
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NPI Number | 1265456651
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Entity Type | Individual
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Provider Name | WILLIAM D GILBERT D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 7005 BOARDWALK DR STE 100
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City | GRANITE BAY
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State | CA
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Zip | 95746-9200
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Country | US
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Telephone | 916-791-4646
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Fax | 916-791-5247
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Provider Business Mailing Address
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Address Line | 7005 BOARDWALK DR STE 100
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City | GRANITE BAY
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State | CA
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Zip | 95746-9200
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Country | US
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Telephone | 916-791-4646
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Fax | 916-791-5247
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33768
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License Number State | CA
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