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General NPI Number Information
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NPI Number | 1972059228
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Entity Type | Organization
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Legal Business Name | GELASIO BARAS MD PA
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 11760 SW 40TH ST STE 502
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-227-2700
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Fax | 305-227-2701
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Provider Business Mailing Address
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Address Line | PO BOX 403451
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City | MIAMI BEACH
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State | FL
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Zip | 33140-1451
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Country | US
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Telephone | 786-303-8025
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Fax | 305-675-2817
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Authorized Official
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Title or Position | PRESIDENT
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Name | GELASIO A BARAS PIER
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Credential | M.D.
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Telephone | 786-303-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME127297
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License Number State | FL
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