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NPI 1689080236

NPI 1689080236 : GIAN PAOLO GIULIARI GONZALEZ M.D. : CANTON, OH

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General NPI Number Information
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    NPI Number           |    1689080236
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    Entity Type          |    Individual 
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    Provider Name        |    GIAN PAOLO GIULIARI GONZALEZ M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/03/2014
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    4676 DOUGLAS CIR NW 
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    City                 |    CANTON
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    State                |    OH
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    Zip                  |    44718-3619
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    Country              |    US
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    Telephone            |    330-494-1116
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5505 PEACHTREE DUNWOODY RD STE 300 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30342-1713
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    Country              |    US
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    Telephone            |    404-257-0814
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    Fax                  |    404-843-8521
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    35.134506
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    92227
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    MD491035
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    License Number State |    PA
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