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General NPI Number Information
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NPI Number | 1508151598
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Entity Type | Individual
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Provider Name | KRISTINA GAUD M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2011
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Last Update Date | 07/25/2021
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Provider Practice Location Address
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Address Line | 2201 MISSION AVE
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City | OCEANSIDE
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State | CA
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Zip | 92058-2313
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Country | US
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Telephone | 619-515-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 823 GATEWAY CENTER WAY
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City | SAN DIEGO
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State | CA
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Zip | 92102-4541
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Country | US
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Telephone | 619-515-2300
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD186801
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD14432
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 170667
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20805
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 19919
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 262743
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License Number State | MA
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