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General NPI Number Information
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NPI Number | 1659774149
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Entity Type | Organization
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Legal Business Name | ANITA ARORA GILL, MD PLLC
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 1501 RIVER POINTE DR SUITE 140
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City | CONROE
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State | TX
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Zip | 77304-2656
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Country | US
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Telephone | 936-760-3373
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Fax | 936-760-3374
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Provider Business Mailing Address
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Address Line | PO BOX 9058
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City | SPRING
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State | TX
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Zip | 77387-9058
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Country | US
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Telephone | 936-760-3373
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Fax | 936-760-3374
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. ANITA GILL
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Credential | MD
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Telephone | 936-760-3373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | M3870
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License Number State | TX
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