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General NPI Number Information
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NPI Number | 1912038571
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Entity Type | Organization
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Legal Business Name | J E GELLIS MD PLC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/27/2009
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Provider Practice Location Address
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Address Line | 3 CREST RD
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City | SAINT ALBANS
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State | VT
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Zip | 05478-9753
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Country | US
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Telephone | 802-527-1282
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1385
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City | WILLISTON
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State | VT
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Zip | 05495-1385
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Country | US
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Telephone | 800-204-0099
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Fax | 336-882-2216
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. JANICE GELLIS
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Credential | M.D.
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Telephone | 802-527-1282
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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