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General NPI Number Information
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NPI Number | 1003026444
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Entity Type | Individual
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Provider Name | CAROL GAUDIO
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1201 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4490
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Country | US
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Telephone | 540-741-1542
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Fax |
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Provider Business Mailing Address
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Address Line | 85 DELMAR LN
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-4745
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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