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General NPI Number Information
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NPI Number | 1427095827
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Entity Type | Individual
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Provider Name | BRUCE M GIOIA MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 388 S MAIN ST
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City | BAXLEY
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State | GA
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Zip | 31513
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Country | US
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Telephone | 912-705-0781
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Fax | 912-705-0154
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Provider Business Mailing Address
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Address Line | 388 S MAIN ST
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City | BAXLEY
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State | GA
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Zip | 31513-0104
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Country | US
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Telephone | 912-705-0781
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Fax | 912-705-0154
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 038774
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 038774
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License Number State | GA
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