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General NPI Number Information
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NPI Number | 1194830422
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Entity Type | Organization
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Legal Business Name | GARY SHIERLING DDS PA
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 521 CAPE CORAL PKWY W
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City | CAPE CORAL
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State | FL
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Zip | 33914-8507
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Country | US
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Telephone | 239-542-1500
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Fax | 239-542-1502
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Provider Business Mailing Address
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Address Line | 602 TRAVERS AVE
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City | FORT MYERS
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State | FL
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Zip | 33919-2516
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Country | US
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Telephone | 239-481-5930
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Fax | 239-542-1502
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. GARY SHIERLING
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Credential | DDS
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Telephone | 239-542-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN11878
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License Number State | FL
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