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General NPI Number Information
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NPI Number | 1992018550
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Entity Type | Organization
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Legal Business Name | JAMES GORELICK MD PA
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 351 NW 42ND AVE SUITE 103
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City | MIAMI
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State | FL
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Zip | 33126-5683
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Country | US
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Telephone | 305-642-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 351 NW 42ND AVE SUITE 103
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City | MIAMI
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State | FL
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Zip | 33126-5683
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Country | US
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Telephone | 305-642-4616
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES GORELICK
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Credential | MD
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Telephone | 305-642-4616
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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 |
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License Number State |
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