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General NPI Number Information
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NPI Number | 1134407125
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Entity Type | Individual
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Provider Name | BETH R GILCHRIST ANP-C
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | CLARK HEALTH CLINIC 5-4257 BASTOGNE ST
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City | FORT LIBERTY
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State | NC
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Zip | 28310-3629
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Country | US
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Telephone | 910-907-2575
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Fax | 910-907-9606
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Provider Business Mailing Address
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Address Line | 2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
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City | FORT LIBERTY
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 910-907-8922
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Fax | 910-907-6069
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA-12460-ANP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA.12460-NP
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License Number State | OH
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