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General NPI Number Information
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NPI Number | 1679558027
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Entity Type | Individual
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Provider Name | GIL YOSIPOVITCH MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 1295 NW 14TH ST
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City | MIAMI
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State | FL
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Zip | 33125-1610
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Country | US
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Telephone | 305-243-6704
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Fax |
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Provider Business Mailing Address
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Address Line | 1295 NW 14TH ST
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City | MIAMI
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State | FL
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Zip | 33125-1610
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Country | US
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Telephone | 305-243-6704
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 200500348
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD449759
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MFC1766
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License Number State | FL
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