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General NPI Number Information
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NPI Number | 1811966575
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Entity Type | Individual
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Provider Name | ROBERT GIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 1620 W SAINT MARYS RD
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City | TUCSON
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State | AZ
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Zip | 85745-2624
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Country | US
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Telephone | 520-791-7996
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Fax | 520-791-3329
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Provider Business Mailing Address
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Address Line | PO BOX 910221
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City | DALLAS
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State | TX
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Zip | 75391-0221
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Country | US
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Telephone | 520-519-7700
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 23023
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License Number State | AZ
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