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General NPI Number Information
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NPI Number | 1033139555
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Entity Type | Individual
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Provider Name | CELSO E. GOMEZ-SANCHEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 2500 NORTH STATE STREET DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
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City | JACKSON
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State | MS
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Zip | 39216-4500
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Country | US
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Telephone | 601-984-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 NORTH STATE STREET DIVISION OF ENDOCRINOLOGY
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City | JACKSON
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State | MS
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Zip | 39216-4500
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Country | US
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Telephone | 601-984-5525
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Fax | 601-984-5769
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 16633
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License Number State | MS
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