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General NPI Number Information
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NPI Number | 1447355748
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Entity Type | Organization
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Legal Business Name | WILLIAM C GAMBERINO, MD, PHD, LLC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3002 SE 1ST AVE BLDG 100
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City | OCALA
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State | FL
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Zip | 34471-0477
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Country | US
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Telephone | 352-291-1717
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Fax | 352-368-7796
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Provider Business Mailing Address
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Address Line | 3002 SE 1ST AVE BLDG 100
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City | OCALA
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State | FL
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Zip | 34471-0477
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Country | US
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Telephone | 352-291-1717
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Fax | 352-368-7796
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM CHARLES GAMBERINO
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Credential | M.D., PH.D.
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Telephone | 352-291-1717
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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 | ME 74599
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License Number State | FL
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