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General NPI Number Information
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NPI Number | 1366132557
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Entity Type | Organization
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Legal Business Name | GASTRO HEALTH, LLC
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 7152 COCA SABAL LN # 155
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City | FORT MYERS
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State | FL
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Zip | 33908-4263
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Country | US
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Telephone | 239-561-7337
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Fax | 239-561-0244
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Provider Business Mailing Address
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Address Line | 7152 COCA SABAL LN # 155
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City | FORT MYERS
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State | FL
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Zip | 33908-4263
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Country | US
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Telephone | 239-561-7337
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Fax | 239-561-0244
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Authorized Official
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Title or Position | CEO
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Name | ALAN OLIVER
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Credential |
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Telephone | 786-530-3820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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