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General NPI Number Information
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NPI Number | 1528358215
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Entity Type | Individual
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Provider Name | BRIAN CHRISTOPHER GIN M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 1801 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60612-4795
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Country | US
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Telephone | 312-996-7416
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Fax |
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Provider Business Mailing Address
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Address Line | 550 16TH ST, FLOOR 5 UCSF BOX 3214
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City | SAN FRANCISCO
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State | CA
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Zip | 94143
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Country | US
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Telephone | 415-476-6245
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Fax | 415-476-4009
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A124293
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036173699
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License Number State | IL
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