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General NPI Number Information
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NPI Number | 1699961649
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Entity Type | Organization
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Legal Business Name | GAINESVILLE GYNECOLOGY, LLC
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Dates
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Enumeration Date | 09/23/2007
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 1206A SHERWOOD PARK DR NE
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City | GAINESVILLE
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State | GA
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Zip | 30501-3445
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Country | US
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Telephone | 770-534-1230
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Fax | 770-534-1205
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Provider Business Mailing Address
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Address Line | 1206A SHERWOOD PARK DR NE
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City | GAINESVILLE
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State | GA
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Zip | 30501-3445
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Country | US
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Telephone | 770-534-1230
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Fax | 770-534-1205
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. WENDELL A TURNER
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Credential | M.D.
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Telephone | 770-534-1230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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