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General NPI Number Information
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NPI Number | 1356797856
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Entity Type | Organization
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Legal Business Name | GIL I ASCUNCE MD PC
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 161 MADISON AVE RM 10SW
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City | NEW YORK
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State | NY
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Zip | 10016-5440
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Country | US
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Telephone | 212-889-2400
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Fax | 212-889-2494
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Provider Business Mailing Address
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Address Line | PO BOX 2339
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City | NEW YORK
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State | NY
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Zip | 10021-0056
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Country | US
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Telephone | 212-889-2400
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Fax | 212-889-2494
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Authorized Official
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Title or Position | PRESIDENT
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Name | GIL IGNACIO ASCUNCE
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Credential | MD
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Telephone | 917-671-8439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 242599
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License Number State | NY
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