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General NPI Number Information
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NPI Number | 1144278037
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Entity Type | Individual
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Provider Name | GARREN P. GEBHARDT DO
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 435 SOUTH ST STE 160
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6477
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Country | US
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Telephone | 973-971-6301
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Fax | 973-290-7169
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Provider Business Mailing Address
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Address Line | PO BOX 416457
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City | BOSTON
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State | MA
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Zip | 02241-6457
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Country | US
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Telephone | 844-362-1735
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Fax | 973-290-7495
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 02003217A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 7091
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 25MB11977300
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License Number State | NJ
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