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General NPI Number Information
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NPI Number | 1053887729
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Entity Type | Organization
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Legal Business Name | GAUZE ENTERPRISES
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 214 N JEFFERSON ST
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City | LOUISA
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State | KY
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Zip | 41230-1110
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Country | US
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Telephone | 606-638-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 4697 HIGHWAY 707
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City | LOUISA
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State | KY
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Zip | 41230-7298
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Country | US
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Telephone | 606-686-2880
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Fax |
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Authorized Official
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Title or Position | PRES.
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Name | KAREN GAY GAUZE
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Credential |
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Telephone | 606-638-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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