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General NPI Number Information
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NPI Number | 1548451768
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Entity Type | Organization
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Legal Business Name | HARVEY A. GILBERT, MD, INC.
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 556 MOUNTAIN RANCH ROAD
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City | SAN ANDREAS
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State | CA
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Zip | 95249
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Country | US
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Telephone | 209-365-1761
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Fax | 209-333-3673
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Provider Business Mailing Address
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Address Line | 311 S HAM LN
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City | LODI
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State | CA
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Zip | 95242-3512
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Country | US
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Telephone | 209-365-1761
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Fax | 209-333-3673
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | HARVEY A GILBERT
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Credential | MD
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Telephone | 209-365-1761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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