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General NPI Number Information
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NPI Number | 1528257086
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN NEUROLOGICAL CARE OF LEE COUNTY
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 38 BARKLEY CIR SUITE 2
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City | FORT MYERS
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State | FL
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Zip | 33907-7526
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Country | US
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Telephone | 239-939-4611
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Fax | 239-939-9062
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Provider Business Mailing Address
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Address Line | 38 BARKLEY CIR SUITE 2
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City | FORT MYERS
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State | FL
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Zip | 33907-7526
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Country | US
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Telephone | 239-939-4611
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Fax | 239-939-9062
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERARDO A GAMEZ
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Credential | MP
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Telephone | 239-939-4611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0054295
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License Number State | FL
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