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General NPI Number Information
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NPI Number | 1376657940
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Entity Type | Individual
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Provider Name | EDWARD ISAAC GELBER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 26 COURT ST 709
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City | BROOKLYN
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State | NY
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Zip | 11242-0103
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Country | US
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Telephone | 917-818-3011
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Fax | 917-768-2011
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Provider Business Mailing Address
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Address Line | 26 COURT ST 709
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City | BROOKLYN
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State | NY
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Zip | 11242-0103
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Country | US
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Telephone | 917-818-3011
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Fax | 917-768-2011
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 230381
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 282288
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101250657
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License Number State | VA
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