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General NPI Number Information
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NPI Number | 1558927392
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Entity Type | Individual
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Provider Name | EMMANUEL FRANCK DOMINIQUE GIBON MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 3737 MARKET ST. 8TH FL
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5547
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Country | US
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Telephone | 215-662-3340
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Fax | 215-222-8878
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Provider Business Mailing Address
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Address Line | 3737 MARKET ST. 8TH FL
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5547
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Country | US
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Telephone | 215-662-3340
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Fax | 215-222-8878
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD478972
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License Number State | PA
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