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General NPI Number Information
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NPI Number | 1609458199
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Entity Type | Individual
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Provider Name | NICOLE GILLMAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 101 WOODRUFF CIR NE STE 338
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City | ATLANTA
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State | GA
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Zip | 30322-0257
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Country | US
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Telephone | 404-727-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WOODRUFF CIR NE STE 327
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City | ATLANTA
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State | GA
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Zip | 30322-0257
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Country | US
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Telephone | 44-727-5658
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 16546
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License Number State | GA
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