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General NPI Number Information
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NPI Number | 1831210145
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Entity Type | Organization
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Legal Business Name | JAMES R. GEBHART, D.O., PC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2425 GARDEN WAY SUITE 100B
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City | HERMITAGE
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State | PA
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Zip | 16148-5215
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Country | US
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Telephone | 724-981-4190
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Fax | 724-981-6317
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Provider Business Mailing Address
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Address Line | 2425 GARDEN WAY SUITE 100B
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City | HERMITAGE
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State | PA
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Zip | 16148-5215
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Country | US
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Telephone | 724-981-4190
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Fax | 724-981-6317
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES R GEBHART
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Credential | D.O.
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Telephone | 724-981-4190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | OS007886L
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License Number State | PA
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