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General NPI Number Information
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NPI Number | 1215047352
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Entity Type | Organization
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Legal Business Name | GARY GREGASAVITCH, DPM, PC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 7001 HERITAGE VILLAGE PLZ STE 230
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City | GAINESVILLE
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State | VA
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Zip | 20155-3095
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Country | US
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Telephone | 703-273-9332
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Fax | 888-246-3989
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Provider Business Mailing Address
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Address Line | 14932 SIMMONS GROVE DR
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City | HAYMARKET
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State | VA
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Zip | 20169-2300
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Country | US
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Telephone | 703-887-0735
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Fax | 888-246-3989
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. GARY F GREGASAVITCH
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Credential | DPM
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Telephone | 703-858-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 0103300881
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License Number State | VA
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