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General NPI Number Information
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NPI Number | 1134198567
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Entity Type | Individual
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Provider Name | RANDY L GEHRING MD
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 721 AMERICAN AVE STE 108
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City | WAUKESHA
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State | WI
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Zip | 53188-5071
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Country | US
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Telephone | 262-928-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 8333 NAAB RD SUITE 250
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-5924
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Country | US
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Telephone | 317-396-1300
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Fax | 317-396-1346
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 01031237A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 68941-20
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License Number State | WI
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