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General NPI Number Information
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NPI Number | 1538689989
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Entity Type | Individual
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Provider Name | GAURAVPAL SINGH GILL MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 445 CHARLES DIMMOCK PARKWAY SUITE 100
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834
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Country | US
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Telephone | 804-520-1764
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Fax |
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Provider Business Mailing Address
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Address Line | MAIL ROUTE: 33300 920 EAST 28TH STREET
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City | MINNEAPOLIS
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State | MN
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Zip | 55407
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Country | US
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Telephone | 612-863-3779
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 0101279772
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License Number State | VA
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