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NPI Code Detail

MEDICARE: DR. SCHARLENE KAY GAUDET DC, DACNB

MEDICARE: DR. SCHARLENE KAY GAUDET DC, DACNB
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
1111N00000XChiropractor1748LA
2111N00000XChiropractor12976TX
3111NN0400XNeurology Chiropractor12976TX

General Provider Information

NPI Number : 1962879015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCHARLENE KAY GAUDET DC, DACNB
Provider Business Mailing Address
First Line : 705 MAIN ST
Second Line :
City : COPPELL
State : TX
Zip : 75019-4742
Country : US
Telephone Number : 469-790-7343
Fax Number : 214-902-3428
Provider Business Practice Location Address
First Line : 705 MAIN ST
Second Line :
City : COPPELL
State : TX
Zip : 75019-4742
Country : US
Telephone Number : 469-790-7343
Fax Number : 972-304-6455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2015
Last Update Date : 09/15/2022

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