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General NPI Number Information
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NPI Number | 1215959101
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Entity Type | Individual
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Provider Name | BETH J GEARHART M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 1 SUNSET LN
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City | SAINT LOUIS
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State | MO
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Zip | 63122-2907
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Country | US
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Telephone | 314-909-0719
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Fax |
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 103345
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01091390A
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License Number State | IN
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