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General NPI Number Information
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NPI Number | 1831491703
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Entity Type | Organization
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Legal Business Name | SHELDON E. GINGERICH, MD, PC
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 2902 E GRANT RD
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City | TUCSON
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State | AZ
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Zip | 85716-2742
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Country | US
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Telephone | 520-322-8440
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Fax | 520-322-8462
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Provider Business Mailing Address
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Address Line | 2902 E GRANT RD
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City | TUCSON
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State | AZ
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Zip | 85716-2742
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Country | US
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Telephone | 520-322-8440
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Fax | 520-322-8462
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | JANET ANN STARKE
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Credential |
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Telephone | 520-545-1765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 14436
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License Number State | AZ
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