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General NPI Number Information
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NPI Number | 1891864005
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Entity Type | Individual
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Provider Name | PAUL WESLEY GILL D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 580 RITCHIE HWY STE K
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3926
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Country | US
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Telephone | 410-544-8433
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Fax | 410-544-9026
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Provider Business Mailing Address
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Address Line | 580 RITCHIE HWY STE K
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3926
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Country | US
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Telephone | 410-544-8433
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Fax | 410-544-9026
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1032
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License Number State | MD
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