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General NPI Number Information
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NPI Number | 1003070541
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Entity Type | Individual
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Provider Name | CHRISTINE DANIELLE GOREY D.O
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Gender | Female
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 365 TUOLUMNE ST
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City | VALLEJO
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State | CA
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Zip | 94590-5700
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Country | US
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Telephone | 707-330-3027
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 CLUB DR MARE ISLAND
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City | VALLEJO
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State | CA
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Zip | 94592-1187
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Country | US
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Telephone | 707-330-3027
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101017946
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A 12135
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License Number State | CA
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