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General NPI Number Information
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NPI Number | 1760010847
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Entity Type | Individual
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Provider Name | GERALD SCOTT ORLANDO II DO
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Gender | Male
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 121 BERKLEY RD
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City | CLARKSBORO
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State | NJ
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Zip | 08020-1160
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Country | US
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Telephone | 856-284-6500
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Fax | 856-497-5202
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Provider Business Mailing Address
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Address Line | 3211 SALERNO WAY
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City | PHILADELPHIA
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State | PA
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Zip | 19145-5568
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Country | US
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Telephone | 215-327-3100
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB11822400
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License Number State | NJ
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