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General NPI Number Information
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NPI Number | 1710803903
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Entity Type | Individual
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Provider Name | MS. GENEVIEVE CARLENE GEHRING-GERVASE
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Gender | Female
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 8626 WICKER AVE
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City | SAINT JOHN
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State | IN
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Zip | 46373-9052
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Country | US
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Telephone | 219-440-7930
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Fax |
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Provider Business Mailing Address
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Address Line | 737 WREN CT
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City | GRIFFITH
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State | IN
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Zip | 46319-3753
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Country | US
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Telephone | 219-670-6229
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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