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General NPI Number Information
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NPI Number | 1437182870
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Entity Type | Individual
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Provider Name | LILIANE GIBBS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 1600 ROCKLAND RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3607
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Country | US
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Telephone | 302-651-4200
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Fax | 302-651-4945
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Provider Business Mailing Address
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Address Line | PO BOX 191
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City | ROCKLAND
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State | DE
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Zip | 19732-0191
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Country | US
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Telephone | 302-651-4200
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Fax | 302-651-4945
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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 | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | DR.0064633
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0023879
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A75094
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 54245
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License Number State | KY
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