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General NPI Number Information
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NPI Number | 1861179194
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Entity Type | Individual
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Provider Name | BU-GUK GREGORY PIL
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Gender | Male
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 345 E 24TH ST
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 207 RUSSELL ST STE 18
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City | HADLEY
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State | MA
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Zip | 01035-5907
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Country | US
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Telephone | 413-387-4636
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN100001168
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License Number State | MA
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