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General NPI Number Information
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NPI Number | 1679638324
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Entity Type | Individual
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Provider Name | MARIE T GILBERT PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/23/2006
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 789 CENTRAL AVE
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City | DOVER
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State | NH
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Zip | 03820-8800
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Country | US
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Telephone | 603-742-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 113 NEW ROCHESTER RD 2
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City | DOVER
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State | NH
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Zip | 03820-8800
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Country | US
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Telephone | 603-742-6555
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Fax | 603-742-2908
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0074
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License Number State | NH
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