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General NPI Number Information
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NPI Number | 1457855421
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Entity Type | Individual
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Provider Name | GAYLE EARLY PHD, APRN
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Gender | Female
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 1250 BELLFLOWER BLVD SCHOOL OF NURSING
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City | LONG BEACH
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State | CA
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Zip | 90840-0001
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Country | US
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Telephone | 562-985-4476
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Fax |
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Provider Business Mailing Address
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Address Line | 2243 STONEWOOD CT
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City | SAN PEDRO
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State | CA
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Zip | 90732-1344
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Country | US
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Telephone | 424-287-0055
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12507
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License Number State | CA
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