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General NPI Number Information
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NPI Number | 1144284290
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Entity Type | Individual
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Provider Name | RICHARD MCGUIRE AULD JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 1210 SONOMA AVE SUITE B
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City | SANTA ROSA
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State | CA
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Zip | 95405-6648
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Country | US
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Telephone | 707-544-5093
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Fax | 707-528-8444
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Provider Business Mailing Address
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Address Line | 320 BRIDLE PATH
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City | HEALDSBURG
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State | CA
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Zip | 95448-8083
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Country | US
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Telephone | 707-483-4665
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A35764
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License Number State | CA
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