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General NPI Number Information
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NPI Number | 1043474075
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Entity Type | Individual
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Provider Name | MR. VICTOR GERALT
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Gender | Male
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 28455 HAGGERTY RD STE 201
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City | NOVI
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State | MI
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Zip | 48377-2982
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Country | US
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Telephone | 248-994-3141
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Fax | 248-994-0887
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Provider Business Mailing Address
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Address Line | 150 TURNDERRY CT #5
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City | BEVERLY HILLS
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State | MI
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Zip | 48025
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Country | US
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Telephone | 248-212-1300
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Fax | 248-994-0887
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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