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General NPI Number Information
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NPI Number | 1851954739
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Entity Type | Individual
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Provider Name | MARIO MANUEL GERARDI
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Gender | Male
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 1730 S FEDERAL HWY # 268
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3309
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Country | US
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Telephone | 305-305-6367
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 TOSCANA PL APT 305
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City | MARGATE
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State | FL
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Zip | 33063-8056
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Country | US
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Telephone | 772-618-3688
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-25-15950
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License Number State | FL
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