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General NPI Number Information
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NPI Number | 1336137819
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Entity Type | Individual
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Provider Name | JENNIFER R GILBY MD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 3475 S SUNCOAST BLVD
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City | HOMOSASSA
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State | FL
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Zip | 34448-2322
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Country | US
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Telephone | 352-765-2010
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Fax | 352-765-2017
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Provider Business Mailing Address
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Address Line | 751 34TH AVE NE
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City | ST PETERSBURG
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State | FL
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Zip | 33704-2336
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Country | US
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Telephone | 727-642-8111
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME0075377
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME75377
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | ME0075377
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License Number State | FL
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