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General NPI Number Information
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NPI Number | 1265579577
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Entity Type | Organization
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Legal Business Name | GAYLE S SHULMAN MD, LLC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 159 MILLBURN AVE
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City | MILLBURN
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State | NJ
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Zip | 07041-1849
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Country | US
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Telephone | 973-912-4433
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Fax | 973-912-4435
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Provider Business Mailing Address
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Address Line | PO BOX 1617
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City | LIVINGSTON
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State | NJ
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Zip | 07039-7217
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Country | US
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Telephone | 973-912-4433
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Fax | 973-912-4435
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Authorized Official
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Title or Position | M.D.
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Name | DR. GAYLE S SHULMAN
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Credential |
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Telephone | 973-912-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA46990
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License Number State | NJ
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