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General NPI Number Information
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NPI Number | 1639421217
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Entity Type | Individual
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Provider Name | NEVA KAYE GULSBY PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 2353 BENT CREEK RD SUITE 110
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City | AUBURN
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State | AL
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Zip | 36830-6431
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Country | US
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Telephone | 334-887-8707
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Fax | 334-887-8706
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Provider Business Mailing Address
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Address Line | 185 LEE ROAD 115
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City | OPELIKA
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State | AL
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Zip | 36804-9309
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Country | US
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Telephone | 770-313-7160
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 006608
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License Number State | GA
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