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General NPI Number Information
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NPI Number | 1609952282
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Entity Type | Individual
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Provider Name | REMO G. GAUDIEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 329 NOKOMIS AVE S
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City | VENICE
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State | FL
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Zip | 34285-2418
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Country | US
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Telephone | 941-484-9538
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Fax | 941-484-1907
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Provider Business Mailing Address
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Address Line | 329 NOKOMIS AVE S
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City | VENICE
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State | FL
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Zip | 34285-2418
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Country | US
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Telephone | 941-484-9538
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Fax | 941-484-1907
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME34599
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License Number State | FL
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