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General NPI Number Information
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NPI Number | 1649731472
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Entity Type | Individual
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Provider Name | WILLIAM JAMES GIBSON DO
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 620 10TH ST N STE 2E
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City | ST PETERSBURG
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State | FL
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Zip | 33705-1407
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Country | US
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Telephone | 727-824-8206
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Fax | 727-824-7110
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Provider Business Mailing Address
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Address Line | 2995 DREW ST FL 2
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-315-6974
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Fax | 813-635-2613
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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 | OS22359
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License Number State | FL
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