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General NPI Number Information
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NPI Number | 1154305712
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Entity Type | Individual
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Provider Name | ESTELLA M GERAGHTY M.D., M.S, M.P.H
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 4860 Y ST SUITE B0400
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 916-734-2737
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Fax | 916-734-5484
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Provider Business Mailing Address
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Address Line | 4150 V ST PSSB 2400
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City | SACRAMENTO
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State | CA
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Zip | 95817-1460
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Country | US
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Telephone | 916-734-5265
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Fax | 916-734-2732
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A87689
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License Number State | CA
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