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General NPI Number Information
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NPI Number | 1376562017
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Entity Type | Individual
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Provider Name | GILLIAN L. HENRY MD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 160 E 32ND ST FL 2 PEDIATRIC CARRDIOLOGY
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City | NEW YORK
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State | NY
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Zip | 10016-6004
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Country | US
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Telephone | 212-263-0960
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Fax | 212-263-5808
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Provider Business Mailing Address
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Address Line | 327 E 34TH ST APT 3D
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City | NEW YORK
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State | NY
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Zip | 10016-4943
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Country | US
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Telephone | 212-263-0960
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Fax | 212-263-5808
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 271200
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License Number State | NY
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