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General NPI Number Information
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NPI Number | 1649366469
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Entity Type | Individual
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Provider Name | PAMELA KAY GESFORD BSN,RN,CDE
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 2000 FOUNDATION WAY STE 3650
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City | MARTINSBURG
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State | WV
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Zip | 25401-9003
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Country | US
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Telephone | 304-264-1000
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Fax | 304-263-7246
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Provider Business Mailing Address
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Address Line | 2000 FOUNDATION WAY SUITE 3650
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City | MARTINSBURG
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State | WV
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Zip | 25401-9003
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Country | US
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Telephone | 304-264-1000
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Fax | 304-263-7246
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 30511
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License Number State | WV
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