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General NPI Number Information
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NPI Number | 1992947451
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Entity Type | Organization
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Legal Business Name | GERIATRIC ASSOCIATES LLC
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 910 AUGUSTA RD
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City | WILMINGTON
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State | DE
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Zip | 19807-2808
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Country | US
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Telephone | 302-373-5366
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Fax | 302-658-1014
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Provider Business Mailing Address
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Address Line | PO BOX 3626
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City | WILMINGTON
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State | DE
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Zip | 19807-0626
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Country | US
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Telephone | 302-373-5366
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Fax | 302-658-1014
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Authorized Official
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Title or Position | PRESIDENT
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Name | RALPH M AURIGEMMA
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Credential | MD
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Telephone | 302-373-5366
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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 | 2008207951
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License Number State | DE
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