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General NPI Number Information
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NPI Number | 1346202009
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Entity Type | Individual
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Provider Name | LAWRENCE J. GELBER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 97 MAIN ST
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City | CHATHAM
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State | NJ
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Zip | 07928-2421
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Country | US
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Telephone | 973-635-2000
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Fax | 973-635-1749
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Provider Business Mailing Address
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Address Line | PO BOX 12417
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City | HAUPPAUGE
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State | NY
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Zip | 11788-0513
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Country | US
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Telephone | 973-635-2000
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Fax | 973-635-1749
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA04360500
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License Number State | NJ
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