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General NPI Number Information
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NPI Number | 1356374748
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Entity Type | Individual
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Provider Name | CLAUDIA GABRIELA GIDEA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 530 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 646-501-0119
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Fax |
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Provider Business Mailing Address
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Address Line | 201 LYONS AVE L4
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City | NEWARK
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State | NJ
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Zip | 07112-2027
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Country | US
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Telephone | 973-926-7205
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Fax | 973-923-8993
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036100990
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License Number State | IL
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