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General NPI Number Information
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NPI Number | 1104863190
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Entity Type | Individual
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Provider Name | GERALD E TURLO MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 4201 SAINT ANTOINE ST STE 5B UNIVERSITY HEALTH CENTER
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 888-264-0102
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Fax | 313-745-8165
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Provider Business Mailing Address
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Address Line | 1560 E MAPLE ROAD SUITE 400-CREDENTIALING
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City | TROY
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State | MI
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Zip | 48083-1138
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Country | US
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Telephone | 313-745-1741
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Fax | 313-745-8165
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 4301047021
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301047021
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License Number State | MI
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