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General NPI Number Information
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NPI Number | 1508879123
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Entity Type | Individual
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Provider Name | HOWARD S GILL
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1900 E COMMERCIAL BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-3737
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Country | US
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Telephone | 954-351-5840
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Fax | 954-351-5739
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Provider Business Mailing Address
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Address Line | 1900 E COMMERCIAL BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-3737
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Country | US
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Telephone | 954-351-5840
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Fax | 954-351-5739
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | ME58402
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License Number State | FL
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