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General NPI Number Information
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NPI Number | 1376859223
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Entity Type | Organization
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Legal Business Name | GILBERT K. MORAN M.D. F.A.C.O.G. INC
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Dates
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Enumeration Date | 08/28/2010
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Last Update Date | 08/28/2010
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Provider Practice Location Address
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Address Line | 681 MEDICAL CENTER DR W STE 101
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City | CLOVIS
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State | CA
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Zip | 93611-6803
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Country | US
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Telephone | 559-299-9000
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Fax | 559-299-8581
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Provider Business Mailing Address
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Address Line | 681 MEDICAL CENTER DR W STE 101
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City | CLOVIS
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State | CA
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Zip | 93611-6803
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Country | US
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Telephone | 559-299-9000
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Fax | 559-299-8581
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GILBERT K MORAN
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Credential | MD
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Telephone | 559-299-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G64415
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License Number State | CA
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