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General NPI Number Information
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NPI Number | 1548542384
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Entity Type | Organization
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Legal Business Name | LUCIA GILLING MD PA
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Dates
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Enumeration Date | 09/19/2011
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 2252 TWELVE OAKS WAY SUITE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6972
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Country | US
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Telephone | 813-746-5509
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Fax | 813-936-4763
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Provider Business Mailing Address
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Address Line | 2252 TWELVE OAKS WAY SUITE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6972
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Country | US
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Telephone | 813-746-5509
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Fax | 813-936-4763
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUCIA E GILLING
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Credential | MD
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Telephone | 813-746-5509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME85473
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License Number State | FL
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