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General NPI Number Information
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NPI Number | 1538566658
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Entity Type | Individual
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Provider Name | ERIC E GAUMER D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3512 E LINCOLNWAY STE A
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City | STERLING
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State | IL
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Zip | 61081-7622
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Country | US
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Telephone | 815-632-3675
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Fax | 815-716-8441
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Provider Business Mailing Address
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Address Line | 125 E MAIN ST
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City | MORRISON
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State | IL
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Zip | 61270-2639
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Country | US
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Telephone | 815-772-8069
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Fax | 815-772-9164
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038012732
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License Number State | IL
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