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General NPI Number Information
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NPI Number | 1023219474
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Entity Type | Organization
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Legal Business Name | DR.ROY F.GHERARDI
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 8 GLENWOOD RD
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City | GLEN HEAD
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State | NY
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Zip | 11545-1310
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Country | US
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Telephone | 516-671-5858
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Fax | 516-671-8753
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Provider Business Mailing Address
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Address Line | 8 GLENWOOD RD
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City | GLEN HEAD
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State | NY
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Zip | 11545-1310
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Country | US
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Telephone | 516-671-5858
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Fax | 516-671-8753
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ROY FRANK GHERARDI
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Credential |
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Telephone | 516-671-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 021472
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License Number State | NY
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