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General NPI Number Information
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NPI Number | 1518184555
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Entity Type | Individual
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Provider Name | GAY C GILMORE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 211 E. BELMONT RD.
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City | CRAWFORD
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State | NE
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Zip | 69339-0523
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Country | US
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Telephone | 308-665-1546
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 523
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City | CRAWFORD
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State | NE
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Zip | 69339-0523
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Country | US
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Telephone | 308-665-1546
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 15292
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License Number State | NE
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