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General NPI Number Information
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NPI Number | 1447407705
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Entity Type | Organization
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Legal Business Name | GEMINICARES, INC.
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 840 ENTERPRISE DRIVE
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City | SLINGER
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State | WI
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Zip | 53086-0230
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Country | US
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Telephone | 262-744-7480
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Fax | 262-644-7481
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Provider Business Mailing Address
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Address Line | 840 ENTERPRISE DR
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City | SLINGER
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State | WI
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Zip | 53086-9135
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Country | US
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Telephone | 262-744-7480
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Fax | 262-644-7481
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Authorized Official
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Title or Position | CONTROLLER
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Name | MS. GAYLE ANN PETRILLI
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Credential |
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Telephone | 262-644-7480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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