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General NPI Number Information
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NPI Number | 1558684316
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Entity Type | Organization
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Legal Business Name | HARRY GILL, MD, PHD, PC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 4501 CONNECTICUT AVE NW STE 1011
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City | WASHINGTON
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State | DC
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Zip | 20008-3710
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Country | US
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Telephone | 202-360-4787
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Fax |
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Provider Business Mailing Address
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Address Line | 2907 ELLICOTT ST NW
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City | WASHINGTON
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State | DC
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Zip | 20008-1022
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Country | US
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Telephone | 202-360-4787
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Fax |
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Authorized Official
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Title or Position | DIRESTOR OF OPERATIONS
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Name | DR. ANYA GILL
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Credential | MD, PHD
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Telephone | 202-425-4636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD34102
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License Number State | DC
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