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General NPI Number Information
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NPI Number | 1245831890
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Entity Type | Organization
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Legal Business Name | PIERRE S GORDON MD PC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 5550 FRIENDSHIP BLVD STE 360
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City | CHEVY CHASE
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State | MD
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Zip | 20815-7256
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Country | US
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Telephone | 301-543-0046
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Fax | 301-747-4750
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Provider Business Mailing Address
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Address Line | 6200 93RD PL
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City | LANHAM
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State | MD
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Zip | 20706-2729
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Country | US
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Telephone | 301-543-0046
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Fax | 301-747-4750
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Authorized Official
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Title or Position | CBO MGR
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Name | SUSANNE TALEBIAN
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Credential |
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Telephone | 703-955-4923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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