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General NPI Number Information
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NPI Number | 1598861494
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Entity Type | Organization
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Legal Business Name | GAYLE V VOTH MD PA
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 399 WEST CAMPBELL SUITE 402
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City | RICHARDSON
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State | TX
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Zip | 75080-3636
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Country | US
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Telephone | 972-783-0947
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Fax | 972-783-0948
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Provider Business Mailing Address
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Address Line | 399 WEST CAMPBELL SUITE 402
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City | RICHARDSON
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State | TX
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Zip | 75080-3636
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Country | US
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Telephone | 972-783-0947
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Fax | 972-783-0948
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Authorized Official
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Title or Position | PRESIDENT
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Name | GAYLE V VOTH
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Credential | MD
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Telephone | 972-783-0947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | E7309
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License Number State | TX
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