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General NPI Number Information
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NPI Number | 1700950409
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Entity Type | Organization
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Legal Business Name | ROY N GAY MD PC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2116 CHESTNUT ST 1ST FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103-4401
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Country | US
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Telephone | 215-988-0508
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Fax | 215-988-0518
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Provider Business Mailing Address
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Address Line | 411 E GOWEN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-1025
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Country | US
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Telephone | 215-988-0508
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Fax | 215-988-0518
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | MS. CATHLEEN MARGARET WLOCK
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Credential |
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Telephone | 610-832-5903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | MD 037685
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License Number State | PA
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