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General NPI Number Information
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NPI Number | 1083126353
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Entity Type | Individual
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Provider Name | GERTHY CIPUS PIERRE
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 9 EAGLE CTR STE 3
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City | O FALLON
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State | IL
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Zip | 62269-1948
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Country | US
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Telephone | 618-954-7434
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Fax | 888-533-1766
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Provider Business Mailing Address
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Address Line | 1706 CLOVERDALE DR
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-5500
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Country | US
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Telephone | 618-954-7434
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Fax | 888-533-1766
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2013038384
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1014759
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0192721
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2023125387
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License Number State | IL
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