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General NPI Number Information
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NPI Number | 1336346378
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Entity Type | Individual
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Provider Name | BRIAN J GAUER PT
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Gender | Male
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1646 5TH AVE N
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City | ESTHERVILLE
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State | IA
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Zip | 51334-1760
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Country | US
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Telephone | 712-362-4672
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Fax |
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Provider Business Mailing Address
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Address Line | 4512 E 42ND ST 313
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City | SIOUX FALLS
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State | SD
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Zip | 57110-4431
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Country | US
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Telephone | 712-209-3443
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 01916
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License Number State | IA
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