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General NPI Number Information
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NPI Number | 1194408922
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Entity Type | Organization
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Legal Business Name | GAMPER HOLDINGS, LLC
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 7667 AL HIGHWAY 51 STE B
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City | OPELIKA
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State | AL
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Zip | 36804-2200
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Country | US
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Telephone | 334-707-7174
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Fax |
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Provider Business Mailing Address
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Address Line | 7667 AL HIGHWAY 51 STE B
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City | OPELIKA
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State | AL
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Zip | 36804-2200
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Country | US
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Telephone | 334-707-7174
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | KATHERINE GAMPER
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Credential | CRNP
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Telephone | 334-707-7174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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