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General NPI Number Information
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NPI Number | 1326158767
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Entity Type | Individual
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Provider Name | ERIK O. GILBERTSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 10862 CALLE VERDE
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City | LA MESA
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State | CA
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Zip | 91941-7340
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Country | US
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Telephone | 619-660-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 54433 FILE
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City | LOS ANGELES
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State | CA
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Zip | 90074-0001
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G78193
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License Number State | CA
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