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General NPI Number Information
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NPI Number | 1427693415
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Entity Type | Individual
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Provider Name | ERIK GUMBS
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Gender | Male
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Dates
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Enumeration Date | 11/13/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 805 RIVER RD
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City | DOVER
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State | DE
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Zip | 19901-3753
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Country | US
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Telephone | 303-857-5060
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Fax | 302-857-5061
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Provider Business Mailing Address
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Address Line | 11 BLACKBIRD CT
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City | NEWARK
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State | DE
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Zip | 19702-8633
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Country | US
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Telephone | 302-229-2976
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LP-0000324
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License Number State | DE
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