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General NPI Number Information
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NPI Number | 1538114533
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Entity Type | Individual
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Provider Name | GILLIAN MAY CORZINE MS
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 104 JONES FERRY RD
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City | CARRBORO
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State | NC
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Zip | 27510-2036
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Country | US
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Telephone | 919-960-9912
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Fax |
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Provider Business Mailing Address
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Address Line | 63 BALDWINS XING
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City | PITTSBORO
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State | NC
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Zip | 27312-5169
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Country | US
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Telephone | 919-942-7132
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 659
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License Number State | NC
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