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General NPI Number Information
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NPI Number | 1538023536
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Entity Type | Organization
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Legal Business Name | GASTON THERMAL IMAGING, INC.
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 927 COX RD
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City | GASTONIA
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State | NC
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Zip | 28054-3455
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Country | US
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Telephone | 704-853-9160
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Fax | 704-824-4676
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Provider Business Mailing Address
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Address Line | 927 COX RD
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City | GASTONIA
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State | NC
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Zip | 28054-3455
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Country | US
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Telephone | 704-853-9160
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Fax | 704-824-4676
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JERRY RYAN GARDNER
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Credential | DC
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Telephone | 704-813-8533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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