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General NPI Number Information
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NPI Number | 1891949582
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Entity Type | Organization
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Legal Business Name | DR DAVID GILL & ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/08/2008
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 6301 SAWMILL RD
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City | DUBLIN
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State | OH
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Zip | 43017-1471
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Country | US
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Telephone | 614-889-7755
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Fax | 614-889-7809
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Provider Business Mailing Address
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Address Line | 6301 SAWMILL RD
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City | DUBLIN
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State | OH
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Zip | 43017-1471
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Country | US
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Telephone | 614-889-7755
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Fax | 614-889-7809
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. DAVID MARTIN GILL
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Credential | OD
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Telephone | 614-889-7755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OH4697
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License Number State | OH
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