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General NPI Number Information
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NPI Number | 1811192867
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Entity Type | Individual
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Provider Name | DARIUS ROBERT GILVYDIS MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 801 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-7430
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Country | US
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Telephone | 630-527-3200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9805 300 GEORGE ST 6TH FLR
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City | NEW HAVEN
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State | CT
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Zip | 06536-0805
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Country | US
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Telephone | 203-785-7998
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Fax | 203-785-6414
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 045449
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036-121154
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License Number State | IL
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