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General NPI Number Information
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NPI Number | 1477331817
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Entity Type | Organization
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Legal Business Name | GILLS ANESTHESIA SERVICES, LLC
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 2883 WESTOVER DR
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City | DANVILLE
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State | VA
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Zip | 24541-5443
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Country | US
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Telephone | 434-250-6086
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Fax |
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Provider Business Mailing Address
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Address Line | 2883 WESTOVER DR
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City | DANVILLE
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State | VA
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Zip | 24541-5443
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Country | US
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Telephone | 434-250-6086
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. CHARLES DENVER GILL
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Credential | CRNA
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Telephone | 434-250-6086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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