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General NPI Number Information
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NPI Number | 1538390232
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Entity Type | Individual
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Provider Name | CHARMAINE C GIBSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 2821 E PRESIDENT GEORGE BUSH HWY STE 400
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City | RICHARDSON
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State | TX
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Zip | 75082-4278
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Country | US
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Telephone | 972-231-9144
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Fax | 972-231-9174
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Provider Business Mailing Address
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Address Line | 2821 E PRESIDENT GEORGE BUSH HWY STE 400
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City | RICHARDSON
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State | TX
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Zip | 75082-4278
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Country | US
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Telephone | 972-231-9144
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Fax | 972-231-9174
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD449331
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME123543
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | Q6142
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MT195157
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License Number State | PA
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