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General NPI Number Information
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NPI Number | 1023232733
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Entity Type | Individual
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Provider Name | RICHARD C. GERARDO D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2950 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91505-2309
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Country | US
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Telephone | 818-954-8804
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Fax | 818-848-7701
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Provider Business Mailing Address
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Address Line | 2950 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91505-2309
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Country | US
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Telephone | 818-954-8804
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Fax | 818-848-7701
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | DC17147
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License Number State | CA
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