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General NPI Number Information
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NPI Number | 1780797803
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Entity Type | Individual
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Provider Name | BRIAN G KAUTH MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2365 SPRINGS RD NE
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City | HICKORY
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State | NC
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Zip | 28601-3067
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Country | US
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Telephone | 828-256-2112
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Fax | 828-256-2393
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Provider Business Mailing Address
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Address Line | 146 ASHFORD HOLLOW LN
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City | MOORESVILLE
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State | NC
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Zip | 28117-9695
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Country | US
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Telephone | 828-256-2112
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Fax | 828-256-2393
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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 | 200501082
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License Number State | NC
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