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NPI 1598704454

NPI 1598704454 : SANJITPAL S. GILL M.D. : VAIL, CO

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General NPI Number Information
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    NPI Number           |    1598704454
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    Entity Type          |    Individual 
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    Provider Name        |    SANJITPAL S. GILL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/06/2006
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    Last Update Date     |    06/29/2023
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Provider Practice Location Address
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    Address Line         |    181 W MEADOW DR STE 400 
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    City                 |    VAIL
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    State                |    CO
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    Zip                  |    81657-5058
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    Country              |    US
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    Telephone            |    970-476-1100
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    Fax                  |    864-849-9934
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Provider Business Mailing Address
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    Address Line         |    181 W MEADOW DR STE 400 
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    City                 |    VAIL
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    State                |    CO
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    Zip                  |    81657-5058
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    Country              |    US
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    Telephone            |    970-476-1100
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    Fax                  |    970-479-5835
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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       |    27460
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    27460
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    License Number State |    SC
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Taxonomy #3
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    42513
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    License Number State |    CO
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