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General NPI Number Information
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NPI Number | 1992010656
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Entity Type | Organization
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Legal Business Name | STEVEN O GAETA, D.C.P.A.
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 2344 BEE RIDGE RD SUITE 110
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City | SARASOTA
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State | FL
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Zip | 34239-6275
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Country | US
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Telephone | 941-921-7778
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Fax | 941-925-3739
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Provider Business Mailing Address
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Address Line | 2344 BEE RIDGE RD SUITE 110
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City | SARASOTA
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State | FL
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Zip | 34239-6275
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Country | US
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Telephone | 941-921-7778
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Fax | 941-925-3739
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN O GAETA
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Credential | DC
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Telephone | 941-921-7778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 111N00000X
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License Number State | FL
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