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General NPI Number Information
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NPI Number | 1710619002
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Entity Type | Organization
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Legal Business Name | GARIBALDI CONSULTING, LLC
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 1865 79TH STREET CSWY
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-4238
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Country | US
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Telephone | 504-371-2455
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Fax |
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Provider Business Mailing Address
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Address Line | 3479 NE 163RD ST UNIT 2223
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-4426
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. TRENAE GARIBALDI
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Credential | DNP
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Telephone | 504-371-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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