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General NPI Number Information
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NPI Number | 1669652954
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Entity Type | Organization
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Legal Business Name | JOAN I. GITLIN, M. D.
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 575 TURNPIKE ST SUITE 25
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5924
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Country | US
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Telephone | 978-683-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 575 TURNPIKE ST SUITE 25
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5924
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOAN GITLIN
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Credential | M.D.
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Telephone | 978-683-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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