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General NPI Number Information
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NPI Number | 1528700762
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Entity Type | Individual
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Provider Name | LOUIS ADEL GERGES MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 900 W NIFONG BLVD STE 101
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City | COLUMBIA
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State | MO
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Zip | 65203-4469
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Country | US
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Telephone | 573-815-6640
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Fax | 573-815-6644
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Provider Business Mailing Address
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Address Line | 1704 NORTHFIELD DR
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City | COLUMBIA
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State | MO
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Zip | 65203-6287
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Country | US
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Telephone | 929-422-9511
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2025030308
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License Number State | MO
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