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General NPI Number Information
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NPI Number | 1982926846
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Entity Type | Individual
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Provider Name | ROBERT M GEBHARDS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 03/12/2023
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Provider Practice Location Address
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Address Line | 1728 S PRAIRIE AVE
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City | PUEBLO
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State | CO
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Zip | 81005-2253
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Country | US
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Telephone | 719-564-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 6499 FARTHING DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-7502
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Country | US
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Telephone | 719-564-0220
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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 | 16896
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License Number State | CO
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