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NPI 1487512034

NPI 1487512034 : EMERSON GAYES DT : BROWNSBURG, IN

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General NPI Number Information
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    NPI Number           |    1487512034
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    Entity Type          |    Individual 
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    Provider Name        |    EMERSON GAYES DT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/13/2026
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    Last Update Date     |    01/13/2026
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Provider Practice Location Address
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    Address Line         |    4695 E NORTHFIELD DR 
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    City                 |    BROWNSBURG
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    State                |    IN
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    Zip                  |    46112-1784
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    Country              |    US
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    Telephone            |    317-520-4748
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    Fax                  |    888-498-5529
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Provider Business Mailing Address
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    Address Line         |    502 VIBURNUM RUN 
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    City                 |    WESTFIELD
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    State                |    IN
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    Zip                  |    46074-8741
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    Country              |    US
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    Telephone            |    317-520-4748
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    Fax                  |    888-498-5529
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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        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    
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    License Number State |    
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