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General NPI Number Information
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NPI Number | 1013102375
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Entity Type | Individual
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Provider Name | DEBRA A. GEBHARD L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 141 SW G ST 2ND FLOOR
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City | GRANTS PASS
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State | OR
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Zip | 97526-2413
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Country | US
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Telephone | 541-660-8988
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23
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City | WOLF CREEK
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State | OR
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Zip | 97497-0023
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Country | US
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Telephone | 541-660-8988
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 5829
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License Number State | OR
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