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General NPI Number Information
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NPI Number | 1124939608
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Entity Type | Organization
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Legal Business Name | GIDEON RISK MANAGEMENT LLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 3040 S OCEAN BLVD
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City | LANTANA
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State | FL
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Zip | 33462-6211
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Country | US
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Telephone | 561-851-5665
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Fax |
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Provider Business Mailing Address
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Address Line | 19790 W DIXIE HWY STE 603
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City | MIAMI
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State | FL
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Zip | 33180-2295
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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 | PA-C
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Name | CARSON HENDERSON
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Credential | PA-C
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Telephone | 561-420-9247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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