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NPI 1366451825

NPI 1366451825 : RICHARD E GILBERT MD : TACOMA, WA

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General NPI Number Information
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    NPI Number           |    1366451825
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD E GILBERT MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/05/2006
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    Last Update Date     |    03/22/2012
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Provider Practice Location Address
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    Address Line         |    3124 S 19TH ST STE 110
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98405-2433
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    Country              |    US
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    Telephone            |    253-459-7500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3124 S 19TH ST STE 110
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98405-2433
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    Country              |    US
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    Telephone            |    253-459-7500
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD00011985
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    2083X0100X
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    Taxonomy Name        |    Occupational Medicine Physician
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    License Number       |    MD00011985
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    2083T0002X
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    Taxonomy Name        |    Medical Toxicology (Preventive Medicine) Physician
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    License Number       |    MD00011985
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    License Number State |    WA
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Taxonomy #4
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    Taxonomy Code        |    2083P0901X
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    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
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    License Number       |    MD00011985
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    License Number State |    WA
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Taxonomy #5
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    Taxonomy Code        |    2083P0500X
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    Taxonomy Name        |    Preventive Medicine/Occupational Environmental Medicine Physician
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    License Number       |    MD00011985
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    License Number State |    WA
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