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General NPI Number Information
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NPI Number | 1962906412
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Entity Type | Individual
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Provider Name | ARIELLE JEANNETTE GERARD MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 53 N UNION AVE
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City | LANSDOWNE
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State | PA
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Zip | 19050-2536
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Country | US
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Telephone | 484-257-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 99 WALL ST STE 5541
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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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 |
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 301666
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 25MA11051600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | MD480614
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License Number State | PA
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