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General NPI Number Information
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NPI Number | 1174642359
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Entity Type | Organization
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Legal Business Name | RICK GEMMA, D.O., INC.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4100 WARRENSVILLE CENTER RD #202
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City | BEACHWOOD
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State | OH
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Zip | 44122-7024
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Country | US
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Telephone | 216-561-3838
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Fax | 216-561-3003
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Provider Business Mailing Address
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Address Line | 4100 WARRENSVILLE CENTER RD #202
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City | BEACHWOOD
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State | OH
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Zip | 44122-7024
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Country | US
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Telephone | 216-561-3838
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Fax | 216-561-3003
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RICK ALAN GEMMA
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Credential | D.O.
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Telephone | 216-561-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34007743G
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License Number State | OH
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