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General NPI Number Information
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NPI Number | 1770468548
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Entity Type | Organization
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Legal Business Name | SCOTT GILLIN MD INC
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Dates
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Enumeration Date | 08/09/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1953 SAN ELIJO AVE STE 200
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City | CARDIFF
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State | CA
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Zip | 92007-2348
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Country | US
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Telephone | 858-215-2618
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Fax |
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Provider Business Mailing Address
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Address Line | 13990 MERCADO DR
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City | DEL MAR
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State | CA
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Zip | 92014-3124
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Country | US
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Telephone | 858-254-0512
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT GILLIN
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Credential | MD
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Telephone | 858-254-0512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number |
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License Number State |
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