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General NPI Number Information
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NPI Number | 1609264548
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Entity Type | Individual
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Provider Name | COLIN GILLESPIE
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Gender | Male
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 1847 MOTT AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4201
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Country | US
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Telephone | 718-337-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 191 JORALEMON ST
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City | BROOKLYN
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State | NY
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Zip | 11201-4306
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Country | US
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Telephone | 718-722-6000
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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