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General NPI Number Information
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NPI Number | 1851152003
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Entity Type | Organization
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Legal Business Name | LYNN C. GILBERT, DDS, MPH, LTD.
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 3908 MURDOCH AVE
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City | PARKERSBURG
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State | WV
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Zip | 26105-4032
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Country | US
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Telephone | 681-660-1156
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 MURDOCH AVE
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City | PARKERSBURG
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State | WV
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Zip | 26105-4032
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Country | US
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Telephone | 681-660-1156
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYNN C GILBERT
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Credential | DDS, MPH
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Telephone | 681-660-1156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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