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General NPI Number Information
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NPI Number | 1003854696
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Entity Type | Individual
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Provider Name | GINA L LAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 795 EASTERN BYPASS BUILDING 2, SUITE 5
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City | RICHMOND
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State | KY
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Zip | 40475-2406
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Country | US
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Telephone | 859-624-2229
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Fax | 859-625-9458
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Provider Business Mailing Address
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Address Line | 795 EASTERN BYPASS BUILDING 2, SUITE 5
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City | RICHMOND
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State | KY
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Zip | 40475-2406
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Country | US
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Telephone | 859-624-2229
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Fax | 859-625-9458
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 30567
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License Number State | KY
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