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General NPI Number Information
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NPI Number | 1831986983
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Entity Type | Organization
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Legal Business Name | DR. G'S PRIMARY CARE
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1425 S CONGRESS AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6384
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Country | US
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Telephone | 561-330-9363
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Fax | 561-274-1930
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Provider Business Mailing Address
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Address Line | 1425 S CONGRESS AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6384
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Country | US
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Telephone | 561-330-9363
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Fax | 561-274-1930
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Authorized Official
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Title or Position | V.P. OF OPERATIONS
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Name | KAREN PEGUERO
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Credential |
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Telephone | 561-715-0336
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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 |
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License Number State |
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