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General NPI Number Information
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NPI Number | 1437285806
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Entity Type | Individual
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Provider Name | JASON L. GERRARD MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 6325 HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2300
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Country | US
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Telephone | 901-522-7700
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Fax | 901-522-2600
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Provider Business Mailing Address
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Address Line | 333 CEDAR STREET, TMP 4 PO BOX 208082
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City | NEW HAVEN
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State | CT
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Zip | 06520-8082
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Country | US
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Telephone | 203-785-4891
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Fax | 203-785-2043
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 240067
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 67442
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License Number State | TN
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