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General NPI Number Information
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NPI Number | 1467087650
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Entity Type | Individual
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Provider Name | GILDA-RAE GRELL MD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2020
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW STE 422 POB SOUTH TOWER
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-877-0698
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Fax | 202-877-6959
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Provider Business Mailing Address
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Address Line | 106 IRVING ST NW STE 422 POB SOUTH TOWER
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-877-0698
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Fax | 202-877-6959
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | D0104008
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 32701201
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD600003902
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License Number State | DC
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