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General NPI Number Information
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NPI Number | 1124264254
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Entity Type | Organization
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Legal Business Name | GERARDO OLARTE, PH.D., P.A.
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 991 NE 73RD ST
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City | MIAMI
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State | FL
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Zip | 33138-5229
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Country | US
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Telephone | 305-758-4003
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Fax | 305-758-4003
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Provider Business Mailing Address
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Address Line | 991 NE 73RD ST
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City | MIAMI
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State | FL
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Zip | 33138-5229
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Country | US
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Telephone | 305-758-4003
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Fax | 305-758-4003
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERARDO OLARTE
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Credential | PH.D.
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Telephone | 305-588-7488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | SA 377
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License Number State | FL
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