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General NPI Number Information
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NPI Number | 1013029040
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Entity Type | Individual
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Provider Name | DR. SHEEL GOSWAMI
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 619 S MARION AVE
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City | LAKE CITY
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State | FL
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Zip | 32025-5808
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Country | US
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Telephone | 352-317-7259
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Fax |
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Provider Business Mailing Address
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Address Line | 7005 NW 18TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32605-3236
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Country | US
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Telephone | 352-331-6289
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0070774
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A068477
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 93-00131
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License Number State | NC
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