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General NPI Number Information
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NPI Number | 1265533665
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Entity Type | Individual
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Provider Name | MONJARI GILLIAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 17310 WRIGHT ST STE 103
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City | OMAHA
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State | NE
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Zip | 68130-2405
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Country | US
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Telephone | 833-228-6889
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Fax | 877-853-0376
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Provider Business Mailing Address
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Address Line | PO BOX 79537
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City | BALTIMORE
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State | MD
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Zip | 21279-0537
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Country | US
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Telephone | 703-824-3200
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 16949
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2020033732
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101840567
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036154541
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License Number State | IL
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