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General NPI Number Information
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NPI Number | 1043346992
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Entity Type | Individual
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Provider Name | NATALIE GERGLER PA
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 630 S 50TH ST
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City | WEST DES MOINES
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State | IA
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Zip | 50265-6992
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Country | US
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Telephone | 515-422-9552
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Fax |
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Provider Business Mailing Address
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Address Line | 450 LAUREL ST # A
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City | DES MOINES
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State | IA
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Zip | 50314-3045
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Country | US
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Telephone | 515-247-8400
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110003362
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 001885
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 124680
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License Number State | IA
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