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General NPI Number Information
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NPI Number | 1861675985
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Entity Type | Organization
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Legal Business Name | EDWARD E GAHRES, MS, LTD
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 5021 SEMINARY RD 109
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1994
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Country | US
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Telephone | 703-931-7515
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Fax | 703-931-9524
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Provider Business Mailing Address
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Address Line | 5021 SEMINARY RD 109
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1994
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Country | US
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Telephone | 703-931-7515
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Fax | 703-931-9524
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD ELIAS GAHRES
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Credential | M.D.
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Telephone | 703-931-7515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 0101-013586
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License Number State | VA
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