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General NPI Number Information
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NPI Number | 1225105919
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Entity Type | Individual
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Provider Name | ROBERT W GNEITING FNP
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 34 LAVELLE COURT
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City | UNALASKA
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State | AK
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Zip | 99685
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Country | US
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Telephone | 907-581-1202
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Fax | 907-581-2331
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | UNALASKA
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State | AK
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Zip | 99685-0144
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Country | US
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Telephone | 907-581-1202
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Fax | 907-581-2331
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP-1659A
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 123290
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License Number State | AK
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