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General NPI Number Information
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NPI Number | 1114516358
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Entity Type | Individual
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Provider Name | GELSY NARANJO
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Gender | Female
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 695 E 8TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-4611
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Country | US
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Telephone | 786-908-3527
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Fax |
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Provider Business Mailing Address
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Address Line | 695 E 8TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-4611
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Country | US
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Telephone | 786-908-3527
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2099
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 37770
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License Number State | OK
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