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General NPI Number Information
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NPI Number | 1679698021
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Entity Type | Organization
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Legal Business Name | GARY L GASOWSKI, MD, PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 CHARLES ST SUITE 7
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City | HANOVER
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State | PA
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Zip | 17331-2267
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Country | US
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Telephone | 717-632-7714
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Fax | 717-632-2839
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Provider Business Mailing Address
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Address Line | 25 CHARLES ST SUITE 7
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City | HANOVER
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State | PA
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Zip | 17331-2267
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Country | US
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Telephone | 717-632-7714
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Fax | 717-632-2839
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Authorized Official
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Title or Position | SECRETARY-TREASURER
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Name | MRS. SANDRA L. GASOWSKI
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Credential |
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Telephone | 717-632-7714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD035143L
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License Number State | PA
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