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General NPI Number Information
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NPI Number | 1790743938
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Entity Type | Individual
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Provider Name | GALE L GERKEN RPH
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR
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City | FORT CARSON
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State | CO
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Zip | 80913-4603
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Country | US
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Telephone | 719-526-7844
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Fax | 719-526-7984
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Provider Business Mailing Address
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Address Line | 10848 W EVANS AVE 38
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City | LAKEWOOD
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State | CO
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Zip | 80227-2067
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Country | US
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Telephone | 303-520-3048
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11135
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2022
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License Number State | WY
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