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General NPI Number Information
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NPI Number | 1265749394
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Entity Type | Organization
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Legal Business Name | FELIX R. GAW, M.D., INC.
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 1211 W LA PALMA AVE SUITE 209
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City | ANAHEIM
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State | CA
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Zip | 92801-2815
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Country | US
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Telephone | 714-533-8885
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Fax | 714-533-8884
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Provider Business Mailing Address
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Address Line | 2674 E VISTA RIDGE DR
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City | ORANGE
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State | CA
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Zip | 92867-1704
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Country | US
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Telephone | 714-533-8885
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Fax | 714-533-8884
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FELIX ROA GAW
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Credential | M.D.
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Telephone | 714-533-8885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A52839
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License Number State | CA
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