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General NPI Number Information
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NPI Number | 1962533471
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Entity Type | Individual
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Provider Name | GINA ENGLERT LMT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2731 NW 41ST ST B-2
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City | GAINESVILLE
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State | FL
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Zip | 32606-7467
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Country | US
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Telephone | 352-870-2223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | NEWBERRY
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State | FL
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Zip | 32669-0084
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Country | US
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Telephone | 352-870-2223
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 37082
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License Number State | FL
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