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General NPI Number Information
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NPI Number | 1679556864
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Entity Type | Organization
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Legal Business Name | DOCTORS GI PARTNERSHIP LTD
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 5191 BABCOCK ST NE
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City | PALM BAY
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State | FL
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Zip | 32905-4610
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Country | US
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Telephone | 321-434-1919
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Fax | 321-434-5419
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Provider Business Mailing Address
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Address Line | PO BOX 749198
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City | ATLANTA
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State | GA
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Zip | 30374-9198
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Country | US
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Telephone | 321-434-5055
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Fax | 321-434-5419
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Authorized Official
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Title or Position | SVP CFO
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Name | KRISTEN PULIO
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Credential |
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Telephone | 301-315-3569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1133
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License Number State | FL
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