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General NPI Number Information
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NPI Number | 1881814515
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Entity Type | Individual
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Provider Name | GINGER GIBBS GENTZEL RPH
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2200 TALL PINES DR SUITE 118
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City | LARGO
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State | FL
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Zip | 33771-5341
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Country | US
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Telephone | 727-524-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 5287 99TH WAY N
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City | ST PETERSBURG
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State | FL
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Zip | 33708-3611
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Country | US
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Telephone | 727-391-6999
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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 | 20289
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License Number State | FL
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