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NPI 1396190252

NPI 1396190252 : FALISHA GILMAN MD : MONTCLAIR, NJ

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General NPI Number Information
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    NPI Number           |    1396190252
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    Entity Type          |    Individual 
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    Provider Name        |    FALISHA GILMAN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/28/2016
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    Last Update Date     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    80 PARK ST 
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    City                 |    MONTCLAIR
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    State                |    NJ
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    Zip                  |    07042-2904
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    Country              |    US
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    Telephone            |    732-226-7596
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    80 PARK ST 
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    City                 |    MONTCLAIR
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    State                |    NJ
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    Zip                  |    07042-2904
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    Country              |    US
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    Telephone            |    732-226-7596
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    319465
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    License Number State |    NY
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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       |    61601
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    License Number State |    CT
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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       |    25MA10755100
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    License Number State |    NJ
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