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General NPI Number Information
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NPI Number | 1588987747
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Entity Type | Organization
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Legal Business Name | GERARD M. GERLING M.D., P.A.
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 300 HEALTH PARK BLVD SUITE 4002
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-3707
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Country | US
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Telephone | 904-825-1114
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Fax | 904-829-1546
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Provider Business Mailing Address
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Address Line | 300 HEALTH PARK BLVD SUITE 4002
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-3707
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Country | US
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Telephone | 904-825-1114
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Fax | 904-829-1546
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Authorized Official
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Title or Position | CEO/PRES
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Name | DR. GERARD MICHAEL GERLING
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Credential | M.D.
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Telephone | 904-825-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME28011
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License Number State | FL
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