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General NPI Number Information
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NPI Number | 1831969575
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Entity Type | Organization
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Legal Business Name | GIBNEY MOBILE HEALTHCARE
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 3220 HEATHWOOD RD
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City | WILMINGTON
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State | DE
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Zip | 19810-3429
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Country | US
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Telephone | 302-485-0225
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Fax |
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Provider Business Mailing Address
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Address Line | 13 CHARLES DR
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City | NEW CASTLE
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State | DE
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Zip | 19720-4669
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANT MEDICAL DIRECTOR
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Name | AMANDA MAHLER
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Credential | PA
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Telephone | 302-485-0225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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