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General NPI Number Information
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NPI Number | 1275653214
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Entity Type | Individual
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Provider Name | DOUGLAS CRAIG GILBERT PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5364 FREDERICKSBURG RD SUITE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6107
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Country | US
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Telephone | 210-387-6386
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Fax |
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Provider Business Mailing Address
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Address Line | 20770 US HIGHWAY 281 N SUITE 108-151
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7519
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Country | US
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Telephone | 210-387-6386
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 16835
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License Number State | TX
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