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General NPI Number Information
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NPI Number | 1801478086
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Entity Type | Organization
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Legal Business Name | GERIATRIC CONSULTANTS PLLC
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 220 13TH AVENUE PL NW
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City | HICKORY
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State | NC
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Zip | 28601-2532
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Country | US
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Telephone | 914-843-9637
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LOUGHLIN AVE
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City | COS COB
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State | CT
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Zip | 06807-2616
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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 | AUTHORIZED OFFICIAL
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Name | BRAD MARKOWITZ
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Credential |
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Telephone | 914-843-9637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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