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General NPI Number Information
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NPI Number | 1598499634
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Entity Type | Individual
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Provider Name | ALVIN ALFREDO GIL VENTURA MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 300 SEYMOUR AVENUE 130 DIVISION
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City | ORANGE
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State | CT
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Zip | 06418
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Country | US
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Telephone | 646-445-9983
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Fax | 281-671-5339
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Provider Business Mailing Address
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Address Line | 300 SEYMOUR AVE
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City | DERBY
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State | CT
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Zip | 06418-1343
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Country | US
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Telephone | 203-516-5303
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Fax | 281-671-5339
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 82064
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License Number State | CT
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