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General NPI Number Information
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NPI Number | 1326827569
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Entity Type | Organization
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Legal Business Name | GIL A CU MD LLC
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 15255 MAX LEGGETT PKWY STE 5000
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City | JACKSONVILLE
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State | FL
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Zip | 32218-7274
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Country | US
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Telephone | 904-228-7239
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Fax | 800-747-3061
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Provider Business Mailing Address
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Address Line | 10150 BELLE RIVE BLVD UNIT 602
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9589
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Country | US
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Telephone | 904-228-7239
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Fax | 800-747-3061
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GIL ASUNCION CU
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Credential | MD
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Telephone | 904-228-7239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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