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General NPI Number Information
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NPI Number | 1275093346
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Entity Type | Individual
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Provider Name | GILA CHAYA GINZBURG MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 04/30/2022
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Provider Practice Location Address
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Address Line | MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK ROAD
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City | MILWAUKEE
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State | WI
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Zip | 53226
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Country | US
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Telephone | 414-266-6670
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Fax |
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Provider Business Mailing Address
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Address Line | MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK ROAD
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City | MILWAUKEE
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State | WI
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Zip | 53226
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Country | US
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Telephone | 414-266-6670
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125.074744
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 036158807
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License Number State | IL
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