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General NPI Number Information
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NPI Number | 1366684417
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Entity Type | Individual
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Provider Name | COREY ADAM GILBERT M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 2041 GEORGIA AVE NW STE A
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City | WASHINGTON
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State | DC
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Zip | 20060-5374
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Country | US
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Telephone | 202-865-1183
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Fax | 202-865-3039
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Provider Business Mailing Address
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Address Line | 2041 GEORGIA AVE NW # 3400
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City | WASHINGTON
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State | DC
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Zip | 20060-4908
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Country | US
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Telephone | 202-865-6679
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D71281
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD041050
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License Number State | DC
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