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General NPI Number Information
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NPI Number | 1780692814
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Entity Type | Individual
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Provider Name | WILLIAM H GAUSMAN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 136 N 3RD ST
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City | LOMPOC
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State | CA
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Zip | 93436-7002
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Country | US
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Telephone | 805-736-1253
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Fax | 805-736-3193
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Provider Business Mailing Address
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Address Line | 136 N 3RD ST
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City | LOMPOC
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State | CA
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Zip | 93436-7002
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Country | US
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Telephone | 805-736-1253
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Fax | 805-736-3193
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C19556
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | C19556
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License Number State | CA
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