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General NPI Number Information
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NPI Number | 1962896241
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Entity Type | Individual
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Provider Name | DANIEL GUSTKEY DO
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Gender | Male
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 5301 DAVIS LN BLDG A200
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City | AUSTIN
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State | TX
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Zip | 78749-4062
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Country | US
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Telephone | 512-494-4000
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Fax | 512-494-4090
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Provider Business Mailing Address
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Address Line | 7940 SHOAL CREEK BLVD STE 100
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City | AUSTIN
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State | TX
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Zip | 78757-7589
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Country | US
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Telephone | 512-494-4000
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Fax |
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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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Taxonomy #2
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | U2502
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | U2502
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License Number State | TX
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