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General NPI Number Information
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NPI Number | 1669692919
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Entity Type | Individual
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Provider Name | GERALYN M GIUFFRIDA PT
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Gender | Female
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 02/20/2009
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Provider Practice Location Address
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Address Line | REORGANIZED SCHOOL DIST 5 2165 HIGHWAY V
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City | SAINT CHARLES
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State | MO
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Zip | 63301-6004
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Country | US
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Telephone | 636-250-5202
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Fax | 660-250-5203
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Provider Business Mailing Address
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Address Line | 2165 HIGHWAY V
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City | SAINT CHARLES
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State | MO
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Zip | 63301-6004
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Country | US
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Telephone | 636-250-5202
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Fax | 660-250-5203
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 01233
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License Number State | MO
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