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General NPI Number Information
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NPI Number | 1073467684
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Entity Type | Individual
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Provider Name | CARL HENRY GERHOLD IV LMSW
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Gender | Male
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 1319 PENNSYLVANIA AVE
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City | DES MOINES
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State | IA
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Zip | 50316
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Country | US
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Telephone | 515-241-0982
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Fax | 515-288-5216
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Provider Business Mailing Address
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Address Line | 1319 PENNSYLVANIA AVE
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City | DES MOINES
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State | IA
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Zip | 50316
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Country | US
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Telephone | 319-826-4679
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Fax | 515-288-5216
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 124539
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License Number State | IA
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