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General NPI Number Information
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NPI Number | 1518559889
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Entity Type | Organization
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Legal Business Name | GAULD HEALTH
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1075 WHITLOCK AVE SW STE I
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City | MARIETTA
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State | GA
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Zip | 30064-1996
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Country | US
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Telephone | 912-704-4164
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 WHITLOCK AVE SW STE I
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City | MARIETTA
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State | GA
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Zip | 30064-1996
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Country | US
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Telephone | 678-215-1882
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | USHMA SHETH
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Credential | DPM
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Telephone | 912-704-4164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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