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General NPI Number Information
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NPI Number | 1013221050
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Entity Type | Individual
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Provider Name | GERALYN M GEDAKA APN
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Gender | Female
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 994 W SHERMAN AVE BLDG 2
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City | VINELAND
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State | NJ
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Zip | 08360-6937
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Country | US
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Telephone | 609-383-0200
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Fax | 631-534-7246
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Provider Business Mailing Address
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Address Line | 994 W SHERMAN AVE BLDG 2
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City | VINELAND
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State | NJ
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Zip | 08360-6937
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Country | US
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Telephone | 631-534-7246
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Fax | 856-457-5681
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00294700
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License Number State | NJ
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