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General NPI Number Information
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NPI Number | 1033437090
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Entity Type | Organization
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Legal Business Name | G & S MEDICAL, LLC
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 1467 W ELLIOT RD SUITE 103
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City | GILBERT
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State | AZ
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Zip | 85233-5167
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Country | US
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Telephone | 480-755-1001
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Fax | 480-755-4703
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Provider Business Mailing Address
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Address Line | 1467 W ELLIOT RD SUITE 103
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City | GILBERT
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State | AZ
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Zip | 85233-5167
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Country | US
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Telephone | 480-755-1001
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Fax | 480-755-4703
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY JAY SCHEREK
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Credential | D.C.
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Telephone | 480-755-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 04264
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License Number State | AZ
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