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General NPI Number Information
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NPI Number | 1063245579
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Entity Type | Individual
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Provider Name | CARA GOSE DO
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Gender | Female
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 11600 W 2ND PL
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City | LAKEWOOD
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State | CO
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Zip | 80228-1527
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Country | US
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Telephone | 720-321-1708
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Fax | 720-321-0026
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Provider Business Mailing Address
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Address Line | 4408 W 94TH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207-2646
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Country | US
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Telephone | 913-244-5629
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | TL.0010661
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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