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General NPI Number Information
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NPI Number | 1932300670
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Entity Type | Individual
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Provider Name | REBECCA ANN GERTZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 4600 E 9TH AVE STE 330
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City | DENVER
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State | CO
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Zip | 80220-4068
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Country | US
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Telephone | 303-563-2760
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Fax | 303-322-0897
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Provider Business Mailing Address
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Address Line | 4600 E 9TH AVE STE 330
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City | DENVER
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State | CO
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Zip | 80220-4068
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Country | US
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Telephone | 303-563-2760
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Fax | 303-322-0897
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 1757
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License Number State | CO
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