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General NPI Number Information
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NPI Number | 1730102237
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Entity Type | Individual
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Provider Name | CHERYL ROSE GAMBAL WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 210 LEWIS ST
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City | RIVER FALLS
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State | WI
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Zip | 54022-2107
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Country | US
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Telephone | 715-425-8003
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Fax |
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Provider Business Mailing Address
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Address Line | 2006 21 3/8 ST APT 404
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City | RICE LAKE
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State | WI
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Zip | 54868-8590
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Country | US
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Telephone | 715-234-5448
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | WI
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