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General NPI Number Information
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NPI Number | 1447485982
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Entity Type | Organization
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Legal Business Name | GREGORY GULICK DO PA
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 05/28/2009
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Provider Practice Location Address
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Address Line | 2575 ULMERTON RD SUITE 300
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City | CLEARWATER
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State | FL
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Zip | 33762-2283
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Country | US
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Telephone | 727-642-6221
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Fax |
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Provider Business Mailing Address
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Address Line | 2575 ULMERTON RD SUITE 300
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City | CLEARWATER
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State | FL
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Zip | 33762-2283
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Country | US
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Telephone | 727-642-6221
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DR. GREGORY GULICK
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Credential | MD
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Telephone | 727-642-6221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS9699
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License Number State | FL
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