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General NPI Number Information
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NPI Number | 1902803471
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Entity Type | Individual
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Provider Name | ROBERT YALE GUMNIT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 175 MADISON AVE
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City | MOUNT HOLLY
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State | NJ
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Zip | 08060-2038
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Country | US
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Telephone | 609-267-0700
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Fax | 609-261-4801
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Provider Business Mailing Address
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Address Line | 120 MADISON AVE SUITE E
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City | MOUNT HOLLY
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State | NJ
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Zip | 08060-2055
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Country | US
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Telephone | 609-261-1660
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Fax | 609-261-1779
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD017913E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA03226500
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License Number State | NJ
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