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General NPI Number Information
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NPI Number | 1831376821
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Entity Type | Organization
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Legal Business Name | GILBERT E. VIGIL, D.D.S
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 3190 W 34TH AVE
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City | DENVER
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State | CO
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Zip | 80211-3208
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Country | US
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Telephone | 303-458-3838
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Fax | 303-458-1357
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Provider Business Mailing Address
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Address Line | 3190 W 34TH AVE
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City | DENVER
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State | CO
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Zip | 80211-3208
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Country | US
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Telephone | 303-458-3838
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Fax | 303-458-1357
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Authorized Official
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Title or Position | DDS
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Name | DR. GILBERT EUGENE VIGIL JR.
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Credential | DDS
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Telephone | 303-458-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5536
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License Number State | CO
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