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General NPI Number Information
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NPI Number | 1619269727
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Entity Type | Organization
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Legal Business Name | VICTORIA M GAUS MD PA
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Dates
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Enumeration Date | 05/07/2011
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Last Update Date | 05/07/2011
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Provider Practice Location Address
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Address Line | 9877 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6164
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Country | US
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Telephone | 954-431-8022
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Fax | 954-431-8078
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Provider Business Mailing Address
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Address Line | 9877 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6164
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Country | US
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Telephone | 954-431-8022
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Fax | 954-431-8078
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA M GAUS
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Credential | M.D.
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Telephone | 954-431-8022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine 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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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