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General NPI Number Information
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NPI Number | 1851340889
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Entity Type | Individual
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Provider Name | RHEDA SUE GERLOCK O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 1550 S POTOMAC ST 155
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City | AURORA
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State | CO
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Zip | 80012-5455
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Country | US
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Telephone | 303-369-1020
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Fax | 303-369-1022
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone | 703-847-8899
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Fax | 571-223-6780
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1215
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.0001215
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License Number State | CO
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