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NPI 1689802100

NPI 1689802100 : GAIL K EHLIN N.P. P.A. : MARGATE, FL

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General NPI Number Information
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    NPI Number           |    1689802100
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    Entity Type          |    Organization 
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    Legal Business Name  |    GAIL K EHLIN N.P. P.A. 
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Dates
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    Enumeration Date     |    06/23/2009
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    Last Update Date     |    01/15/2010
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Provider Practice Location Address
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    Address Line         |    5901 COLONIAL DR 
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    City                 |    MARGATE
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    State                |    FL
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    Zip                  |    33063-5675
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    Country              |    US
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    Telephone            |    954-984-8892
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    Fax                  |    984-984-8810
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Provider Business Mailing Address
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    Address Line         |    5901 COLONIAL DR 
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    City                 |    MARGATE
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    State                |    FL
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    Zip                  |    33063-5675
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    Country              |    US
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    Telephone            |    954-984-8892
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    Fax                  |    984-984-8810
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. GAIL K EHLIN 
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    Credential           |    ARNP
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    Telephone            |    954-341-2357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    2608302
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    License Number State |    FL
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