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General NPI Number Information
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NPI Number | 1518187335
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Entity Type | Organization
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Legal Business Name | GERALD W. CAHILL MDPC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 23 4TH ST SUITE 1
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City | MALONE
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State | NY
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Zip | 12953-1331
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Country | US
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Telephone | 518-483-8962
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Fax | 518-481-6049
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Provider Business Mailing Address
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Address Line | 23 4TH ST SUITE 1
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City | MALONE
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State | NY
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Zip | 12953-1331
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Country | US
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Telephone | 518-483-8962
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Fax | 518-481-6049
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Authorized Official
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Title or Position | OWNER
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Name | DR. GERALD WILLIAM CAHILL
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Credential | MD
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Telephone | 518-483-8962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 180867
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License Number State | NY
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