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General NPI Number Information
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NPI Number | 1689630592
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Entity Type | Individual
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Provider Name | ANDRES GELRUD M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 9408 SW 87TH AVE STE 200
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City | MIAMI
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State | FL
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Zip | 33176-2416
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Country | US
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Telephone | 305-913-0666
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 S DADELAND BLVD 200
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City | MIAMI
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State | FL
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Zip | 33156-2866
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Country | US
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Telephone | 305-468-4185
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Fax | 305-675-3378
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME131069
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License Number State | FL
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