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General NPI Number Information
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NPI Number | 1760554182
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Entity Type | Individual
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Provider Name | PAUL ANDREW GERST L.AC. C.P.M.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 110 LONG POND RD STE 111
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City | PLYMOUTH
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State | MA
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Zip | 02360-2642
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Country | US
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Telephone | 774-283-2726
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Fax |
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Provider Business Mailing Address
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Address Line | 110 LONG POND RD STE 111
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City | PLYMOUTH
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State | MA
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Zip | 02360-2642
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Country | US
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Telephone | 774-283-2726
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 235-055
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 241993
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License Number State | MA
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