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General NPI Number Information
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NPI Number | 1346256237
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Entity Type | Individual
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Provider Name | DAVID KALMAN GITTELMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 4350 US 421 SOUTH 170
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City | LILLINGTON
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State | NC
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Zip | 27546-4280
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Country | US
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Telephone | 910-893-1741
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Fax | 910-893-1777
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Provider Business Mailing Address
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Address Line | PO BOX 4280 170
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City | BUIES CREEK
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State | NC
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Zip | 27506-4280
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Country | US
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Telephone | 910-893-1741
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Fax | 910-893-1777
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 33454
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License Number State | NC
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