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General NPI Number Information
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NPI Number | 1407476328
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Entity Type | Individual
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Provider Name | NICHOLAS GIL
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Gender | Male
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 535 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4823
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Country | US
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Telephone | 201-874-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 18 FOX CHASE RD
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City | OAK RIDGE
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State | NJ
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Zip | 07438-8884
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Country | US
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Telephone | 201-874-7227
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 041829-1
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License Number State | NY
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