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General NPI Number Information
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NPI Number | 1316916307
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY ASSOC OF YORK, P.C.
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | 2690 SOUTHFIELD DR
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City | YORK
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State | PA
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Zip | 17403-4510
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Country | US
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Telephone | 717-741-1414
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Fax | 717-741-4774
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Provider Business Mailing Address
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Address Line | 2690 SOUTHFIELD DR
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City | YORK
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State | PA
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Zip | 17403-4510
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Country | US
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Telephone | 717-741-1414
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Fax | 717-741-4774
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. JAMES M GILL
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Credential |
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Telephone | 717-741-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | PA
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