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General NPI Number Information
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NPI Number | 1245593490
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Entity Type | Individual
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Provider Name | MAYURKUMAR M GOHEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 116 DEFENSE HWY STE 202
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7045
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Country | US
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Telephone | 410-224-0270
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Fax | 410-224-0273
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Provider Business Mailing Address
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Address Line | 15 SPRING ST
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City | DANVILLE
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State | PA
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Zip | 17821-1623
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Country | US
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Telephone | 914-414-3382
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD040673
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | D0079692
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License Number State | MD
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