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General NPI Number Information
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NPI Number | 1932129673
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Entity Type | Individual
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Provider Name | JAMES DOUGLAS GERARD D.C
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 10 W LOCUST ST SUITE C
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City | LODI
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State | CA
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Zip | 95240-2136
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Country | US
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Telephone | 209-333-2401
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Fax | 209-339-4589
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Provider Business Mailing Address
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Address Line | 10 W LOCUST ST SUITE C
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City | LODI
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State | CA
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Zip | 95240-2136
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Country | US
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Telephone | 209-333-2401
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Fax | 209-339-4589
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC0155070
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License Number State | CA
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