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General NPI Number Information
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NPI Number | 1922368612
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Entity Type | Individual
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Provider Name | SHEILA JOAN GATELY MD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 515 W 6TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32206-4324
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Country | US
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Telephone | 904-253-1040
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Fax | 904-253-1918
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Provider Business Mailing Address
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Address Line | 900 UNIVERSITY BLVD N MC-75
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5530
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Country | US
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Telephone | 904-253-1025
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Fax | 904-253-1918
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 27178
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 026010
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 104737
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME126712
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License Number State | FL
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