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General NPI Number Information
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NPI Number | 1477686855
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Entity Type | Individual
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Provider Name | ANDREW JAMES GERBER M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 208 VALLEY RD
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City | NEW CANAAN
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State | CT
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Zip | 06840-3899
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Country | US
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Telephone | 203-801-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 208 VALLEY RD
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City | NEW CANAAN
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State | CT
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Zip | 06840-3899
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Country | US
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Telephone | 203-801-2230
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 226142
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 074012
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License Number State | CT
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