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General NPI Number Information
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NPI Number | 1992816672
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Entity Type | Individual
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Provider Name | GARY BAUER GARST DC
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 3609 BRANDON AVE SW
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City | ROANOKE
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State | VA
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Zip | 24018-1525
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Country | US
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Telephone | 540-297-3440
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Fax | 540-297-9313
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Provider Business Mailing Address
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Address Line | 3609 BRANDON AVE SW
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City | ROANOKE
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State | VA
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Zip | 24018-1525
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Country | US
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Telephone | 540-297-3440
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Fax | 540-297-9313
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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 | 0104000405
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License Number State | VA
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