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General NPI Number Information
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NPI Number | 1881703411
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Entity Type | Individual
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Provider Name | RICHARD GELMAN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 3200 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328-2018
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Country | US
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Telephone | 954-262-7329
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 SW 62ND AVE
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City | MIAMI
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State | FL
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Zip | 33155-3009
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Country | US
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Telephone | 305-666-6511
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 5712
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License Number State | FL
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