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General NPI Number Information
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NPI Number | 1184504029
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Entity Type | Individual
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Provider Name | GENNA GELFAND DDS
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4710 GREAT NORTHERN BLVD
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3427
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Country | US
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Telephone | 440-455-1787
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Fax |
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Provider Business Mailing Address
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Address Line | 14615 JANE STREET
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City | KING CITY
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State | ON
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Zip | L7B 1A3
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Country | CA
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.027874
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License Number State | OH
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