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General NPI Number Information
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NPI Number | 1306040373
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Entity Type | Individual
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Provider Name | GINA CARLOTTI MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 1211 CHESTNUT ST STE 405
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4114
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Country | US
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Telephone | 215-971-2804
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Fax | 215-665-8018
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 21
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City | LOS ANGELES
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State | CA
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Zip | 90028-7422
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Country | US
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Telephone | 323-860-5200
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Fax | 323-467-7119
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 54526
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD439263
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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 | 141045
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 141045
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08755800
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License Number State | NJ
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