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General NPI Number Information
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NPI Number | 1679326003
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Entity Type | Individual
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Provider Name | NICHOLAS GUTSCHE MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2000 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-1136
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Country | US
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Telephone | 352-265-0287
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Fax |
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Provider Business Mailing Address
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Address Line | 36475 FIVE MILE RD
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City | LIVONIA
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State | MI
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Zip | 48154-1971
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Country | US
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Telephone | 734-655-4800
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Fax | 734-655-2911
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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