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General NPI Number Information
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NPI Number | 1437429321
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Entity Type | Organization
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Legal Business Name | GENNARO SAGLIOCCA, MD, PA
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 2000 CONTINENTAL DRIVE SUITE B
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City | WEST PALM BEACH
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State | FL
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Zip | 33340-3207
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Country | US
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Telephone | 561-845-2680
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Fax | 561-845-2637
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Provider Business Mailing Address
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Address Line | 2000 CONTINENTAL DR SUITE B
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3207
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Country | US
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Telephone | 561-845-2680
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Fax | 561-845-2637
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Authorized Official
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Title or Position | OWNER
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Name | DR. GENNARO SAGLIOCCA
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Credential | MD
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Telephone | 561-845-2680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME0053712
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License Number State | FL
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