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General NPI Number Information
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NPI Number | 1669676490
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE AND GERIATRICS, PC
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 711 MCFARLAND ST
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City | MORRISTOWN
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State | TN
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Zip | 37814
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Country | US
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Telephone | 423-317-7412
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Fax | 423-317-7415
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Provider Business Mailing Address
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Address Line | 711 MCFARLAND ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3977
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Country | US
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Telephone | 423-317-7412
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Fax | 423-317-7415
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ANGULA GUPTA
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Credential |
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Telephone | 423-317-7412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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