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General NPI Number Information
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NPI Number | 1619143898
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Entity Type | Individual
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Provider Name | ROMINA GIL ILIC M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | ROPER ST.FRANCIS HOSPITAL 316 CALHOUN SREET
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City | CHARLESTON
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State | SC
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Zip | 29401
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Country | US
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Telephone | 843-724-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 299 PRESIDENT ST
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City | CHARLESTON
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State | SC
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Zip | 29403-4643
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Country | US
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Telephone | 516-857-2947
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 40527
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 40527
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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