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General NPI Number Information
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NPI Number | 1396659561
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Entity Type | Organization
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Legal Business Name | GORDON MEDICAL PLUS LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 206 W STATE ST FL 2
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City | MEDIA
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State | PA
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Zip | 19063-3105
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Country | US
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Telephone | 610-602-9703
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Fax | 610-602-9739
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Provider Business Mailing Address
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Address Line | 206 W STATE ST FL 2
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City | MEDIA
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State | PA
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Zip | 19063-3105
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Country | US
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Telephone | 610-602-9703
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Fax | 610-602-9739
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL DELANO GORDON SR.
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Credential |
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Telephone | 610-602-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | NULL
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