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General NPI Number Information
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NPI Number | 1083928527
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Entity Type | Organization
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Legal Business Name | GEROCARE CONSULTING LLC
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 17332 GARDEN HEATH CT
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City | LAND O LAKES
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State | FL
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Zip | 34638-8089
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Country | US
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Telephone | 813-412-3421
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Fax |
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Provider Business Mailing Address
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Address Line | 17332 GARDEN HEATH CT
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City | LAND O LAKES
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State | FL
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Zip | 34638-8089
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER /OWNER
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Name | DR. INYENE E UMOREN
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Credential | M.D.
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Telephone | 727-286-7645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | ME 105037
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License Number State | FL
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