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General NPI Number Information
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NPI Number | 1033149349
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Entity Type | Individual
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Provider Name | GAYNELL S PIERSON MSN, NP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 115 FIELDS ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-1492
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Country | US
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Telephone | 317-584-0038
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Fax | 317-834-5469
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Provider Business Mailing Address
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Address Line | 1001 HADLEY RD STE 190
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City | MOORESVILLE
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State | IN
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Zip | 46158-1884
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Country | US
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Telephone | 317-834-5220
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Fax | 317-528-8012
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71001668A
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License Number State | IN
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