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General NPI Number Information
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NPI Number | 1104627553
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Entity Type | Individual
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Provider Name | JOSEPH DAVID GURKA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 6335 CASTLEWAY COURT
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City | INDIANAPOLIS
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State | IN
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Zip | 46250
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Country | US
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Telephone | 463-274-5580
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Fax |
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Provider Business Mailing Address
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Address Line | 7217 OAKVIEW DR
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City | AVON
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State | IN
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Zip | 46123-9436
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Country | US
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Telephone | 317-691-3046
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26021174A
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License Number State | IN
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