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General NPI Number Information
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NPI Number | 1154471977
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Entity Type | Individual
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Provider Name | JOSHUA A. GOTTSCHALL MD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 12/10/2018
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Provider Practice Location Address
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Address Line | 1507 S HIAWASSEE RD
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City | ORLANDO
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State | FL
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Zip | 32835-5718
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Country | US
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Telephone | 407-253-1000
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Fax | 407-253-1010
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Provider Business Mailing Address
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Address Line | 1507 S HIAWASSEE RD
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City | ORLANDO
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State | FL
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Zip | 32835-5718
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Country | US
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Telephone | 407-253-1000
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Fax | 407-253-1010
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A92285
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | ME96710
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License Number State | FL
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