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General NPI Number Information
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NPI Number | 1295752822
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Entity Type | Individual
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Provider Name | JAMES GORDON GREGORY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 3131 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1175
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Country | US
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Telephone | 724-652-3505
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Fax | 866-588-2705
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Provider Business Mailing Address
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Address Line | 229 JAMES ST
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City | NEW WILMINGTON
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State | PA
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Zip | 16142-3307
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Country | US
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Telephone | 724-946-8303
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036094854
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD065489L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.093067
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD065489L
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License Number State | PA
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