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NPI 1760366173

NPI 1760366173 : DR. WILLIAM GAMBLE : COLUMBIA, MD

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General NPI Number Information
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    NPI Number           |    1760366173
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    Entity Type          |    Individual 
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    Provider Name        |    DR. WILLIAM GAMBLE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/31/2025
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    Last Update Date     |    07/31/2025
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Provider Practice Location Address
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    Address Line         |    7165 COLUMBIA GATEWAY DR STE A 
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    City                 |    COLUMBIA
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    State                |    MD
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    Zip                  |    21046-2145
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    Country              |    US
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    Telephone            |    443-441-0616
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7411 RICKSWAY RD 
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    City                 |    PIKESVILLE
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    State                |    MD
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    Zip                  |    21208-5720
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    Country              |    US
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    Telephone            |    617-939-6456
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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