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General NPI Number Information
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NPI Number | 1356231393
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Entity Type | Individual
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Provider Name | GERALD AUGUSTIN NP
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Gender | Male
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 3023 DAVENPORT AVE
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City | SAGINAW
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State | MI
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Zip | 48602-3652
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Country | US
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Telephone | 989-907-2761
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Fax | 833-449-3914
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Provider Business Mailing Address
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Address Line | 501 LAPEER AVE
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City | SAGINAW
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State | MI
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Zip | 48607-1203
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Country | US
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Telephone | 989-759-6464
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Fax | 989-399-8233
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704366207
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License Number State | MI
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