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General NPI Number Information
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NPI Number | 1649599184
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Entity Type | Organization
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Legal Business Name | G. I. DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2801 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-4821
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Country | US
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Telephone | 908-851-0455
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Fax | 908-851-0708
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Provider Business Mailing Address
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Address Line | 2801 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-4821
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Country | US
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Telephone | 908-851-0455
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Fax | 908-851-0708
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM SCOTT DIGIACOMO
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Credential | M.D.
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Telephone | 908-851-0455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 227461
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License Number State | NJ
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