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General NPI Number Information
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NPI Number | 1780614966
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Entity Type | Organization
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Legal Business Name | DR. ASTRID GUTSMANN PA
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 411 E MCDERMOTT DR
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City | ALLEN
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State | TX
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Zip | 75002-2854
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Country | US
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Telephone | 972-227-3464
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Fax | 877-879-2911
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Provider Business Mailing Address
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Address Line | 411 E MCDERMOTT DR
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City | ALLEN
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State | TX
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Zip | 75002-2854
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Country | US
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Telephone | 972-227-3464
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Fax | 877-879-2911
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ASTRID GUTSMANN
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Credential | DO, PH.D.
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Telephone | 972-227-3464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M0422
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License Number State | TX
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