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General NPI Number Information
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NPI Number | 1134185051
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Entity Type | Individual
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Provider Name | ANDREW S GERKEN MD
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 629 N SANDUSKY AVE
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City | BUCYRUS
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State | OH
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Zip | 44820-1821
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Country | US
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Telephone | 419-562-4677
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Fax | 419-562-0987
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Provider Business Mailing Address
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Address Line | 4750 HEMPSTEAD STATION DR
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City | KETTERING
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State | OH
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Zip | 45429-5164
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Country | US
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Telephone | 800-875-0136
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Fax | 937-619-4231
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301502408
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35082874
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301502408
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License Number State | MI
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