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General NPI Number Information
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NPI Number | 1598288144
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Entity Type | Individual
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Provider Name | BONNIE HELENA GEHRKE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 560 N CAMINO MERCADO STE 7
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5759
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Country | US
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Telephone | 520-836-5538
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Fax | 844-772-0049
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Provider Business Mailing Address
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Address Line | 560 N CAMINO MERCADO STE 7
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5759
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Country | US
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Telephone | 520-836-5538
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | TAP10401
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License Number State | AZ
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