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General NPI Number Information
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NPI Number | 1881150142
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Entity Type | Organization
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Legal Business Name | GERIATRX HEALTH LLC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 5753 SW LONGSPUR LN
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City | PALM CITY
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State | FL
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Zip | 34990-8839
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Country | US
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Telephone | 772-260-6922
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8689
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City | JUPITER
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State | FL
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Zip | 33468-8689
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Country | US
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Telephone | 561-748-2889
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KAREN BARLOW
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Credential |
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Telephone | 561-748-2889
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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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