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General NPI Number Information
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NPI Number | 1619995222
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Entity Type | Individual
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Provider Name | ROBERT GLEN GITTIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 1236 HUFFMAN MILL RD SUITE #120
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-7725
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Fax | 336-538-7785
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Provider Business Mailing Address
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Address Line | PO BOX 209
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City | BURLINGTON
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State | NC
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Zip | 27216-0209
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Country | US
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Telephone | 336-538-7725
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Fax | 336-538-7785
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 31289
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License Number State | NC
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