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General NPI Number Information
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NPI Number | 1588804579
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Entity Type | Individual
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Provider Name | SARA POYNTER GERHARDS MD
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Gender | Female
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 10 COBURG ROAD STE 100
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City | EUGENE
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State | OR
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Zip | 97401-7479
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Country | US
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Telephone | 541-342-8616
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Fax | 541-686-4814
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Provider Business Mailing Address
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Address Line | 10 COBURG ROAD STE 100
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City | EUGENE
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State | OR
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Zip | 97401-7479
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Country | US
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Telephone | 541-342-8616
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Fax | 541-686-4814
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD152697
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License Number State | OR
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