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General NPI Number Information
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NPI Number | 1417023581
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Entity Type | Individual
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Provider Name | DANIEL A GAY D.O., F.A.C.P.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 1199 HADLEY RD STE 100
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City | MOORESVILLE
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State | IN
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Zip | 46158-1788
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Country | US
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Telephone | 317-834-3263
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Fax | 317-834-5194
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Provider Business Mailing Address
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Address Line | PO BOX 781076
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City | DETROIT
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State | MI
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Zip | 48278-1076
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 02002405
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 02002405A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 02002405
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License Number State | IN
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