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General NPI Number Information
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NPI Number | 1649814575
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Entity Type | Individual
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Provider Name | LAURA MICHELLE GADZINSKI
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Gender | Female
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 16932 79TH CT N
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-3024
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Country | US
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Telephone | 561-792-3115
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Fax |
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Provider Business Mailing Address
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Address Line | 16358 73RD CT N
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-3014
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Country | US
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Telephone | 561-389-2691
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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