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General NPI Number Information
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NPI Number | 1003083346
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Entity Type | Organization
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Legal Business Name | GERALD M GERRISH DC PA
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 276 STATE HIGHWAY 3
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City | BAR HARBOR
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State | ME
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Zip | 04609-7539
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Country | US
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Telephone | 207-288-3980
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Fax | 207-288-8030
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Provider Business Mailing Address
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Address Line | 276 STATE HIGHWAY 3
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City | BAR HARBOR
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State | ME
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Zip | 04609-7539
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Country | US
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Telephone | 207-288-3980
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Fax | 207-288-8030
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERALD MATTHEW GERRISH
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Credential | D.C.
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Telephone | 207-288-3980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CR1100
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License Number State | ME
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