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General NPI Number Information
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NPI Number | 1659363513
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Entity Type | Individual
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Provider Name | ROBERT LEE GEAR III D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 07/29/2007
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Provider Practice Location Address
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Address Line | 3543 N 7TH ST
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City | PHOENIX
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State | AZ
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Zip | 85014-5204
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Country | US
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Telephone | 602-263-8484
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Fax | 602-263-3697
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Provider Business Mailing Address
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Address Line | 3543 N 7TH ST
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City | PHOENIX
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State | AZ
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Zip | 85014-5204
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Country | US
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Telephone | 602-263-8484
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Fax | 602-263-3697
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 3202
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3202
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 3202
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License Number State | AZ
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