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General NPI Number Information
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NPI Number | 1760578165
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Entity Type | Individual
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Provider Name | JOSE A GAUDIER MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 1740 SE 18TH ST STE 1202
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City | OCALA
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State | FL
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Zip | 34471-4670
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Country | US
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Telephone | 352-732-8630
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Fax | 352-867-7895
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Provider Business Mailing Address
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Address Line | 1740 SE 18TH ST STE 1202
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City | OCALA
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State | FL
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Zip | 34471-4670
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Country | US
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Telephone | 352-732-8630
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Fax | 352-867-7895
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME0060291
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License Number State | FL
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