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General NPI Number Information
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NPI Number | 1013976877
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Entity Type | Individual
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Provider Name | NEY MCKINLEY GORE III M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER
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City | EL PASO
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State | TX
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Zip | 79920-5001
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Country | US
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Telephone | 915-569-1382
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Fax | 915-569-1233
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Provider Business Mailing Address
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Address Line | 12 RIVER RD
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City | GETTYSBURG
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State | PA
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Zip | 17325-6002
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Country | US
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Telephone | 210-846-7477
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 07984
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License Number State | MS
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