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NPI Code Detail

MEDICARE: MRS. AMANDA JAYNE GAUS

MEDICARE:  MRS. AMANDA JAYNE GAUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1740414929
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA JAYNE GAUS
Provider Business Mailing Address
First Line : 120 DUNBAR AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15202-3308
Country : US
Telephone Number : 412-301-0296
Fax Number : 412-322-4626
Provider Business Practice Location Address
First Line : 1450 INGHAM ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-2874
Country : US
Telephone Number : 412-322-0140
Fax Number : 412-322-4626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2009
Last Update Date : 05/04/2009

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Directions to “ MRS. AMANDA JAYNE GAUS ” Practice Location

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