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General NPI Number Information
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NPI Number | 1295096881
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Entity Type | Organization
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Legal Business Name | G S GILL, MD PC
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 1101 STEWART AVE SUITE 101
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City | GARDEN CITY
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State | NY
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Zip | 11530-4892
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Country | US
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Telephone | 516-741-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 STEWART AVE SUITE 101
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City | GARDEN CITY
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State | NY
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Zip | 11530-4808
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Country | US
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Telephone | 516-741-0055
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GURMIT S GILL
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Credential | M.D.
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Telephone | 516-741-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 182198
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License Number State | NY
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