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General NPI Number Information
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NPI Number | 1114370988
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Entity Type | Organization
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Legal Business Name | GAPOVER MD, PLLC
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1805 SARDIS RD N STE 124
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City | CHARLOTTE
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State | NC
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Zip | 28270-1479
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Country | US
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Telephone | 704-269-6127
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Fax | 866-387-3974
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Provider Business Mailing Address
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Address Line | 1805 SARDIS RD N STE 124
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City | CHARLOTTE
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State | NC
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Zip | 28270-1479
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Country | US
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Telephone | 704-269-6127
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Fax | 866-387-3974
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Authorized Official
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Title or Position | CEO
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Name | DR. EVERLYN L HALL BAKER
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Credential | M.D.
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Telephone | 704-724-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33372
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License Number State | NC
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