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General NPI Number Information
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NPI Number | 1467439752
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Entity Type | Organization
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Legal Business Name | DRS MORRES GIANELLE GOERTZEN & ASSOC PA
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 103 120TH STREET
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City | OCEAN CITY
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State | MD
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Zip | 21842
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Country | US
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Telephone | 410-520-0582
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Fax |
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Provider Business Mailing Address
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Address Line | 509 CALLOWAY ST
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City | SALISBURY
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State | MD
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Zip | 21804-3200
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Country | US
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Telephone | 410-334-6351
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Fax | 410-334-6352
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALTER D GIANELLE
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Credential | MD
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Telephone | 410-334-6351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20235706
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License Number State | MD
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