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General NPI Number Information
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NPI Number | 1265458285
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Entity Type | Individual
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Provider Name | PATRICIA D GIBBONS ANP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 501 WEST 14TH STREET
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-733-5625
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Fax | 302-478-7002
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DRIVE SUITE 2300
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City | NEWARK
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State | DE
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Zip | 19713-2049
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Country | US
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Telephone |
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | LB0000174
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LB0000174
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License Number State | DE
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