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General NPI Number Information
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NPI Number | 1316820764
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Entity Type | Individual
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Provider Name | GOUNDOUL GASSAMA
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 100 ARDEN ST APT 3C
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City | NEW YORK
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State | NY
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Zip | 10040-1508
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Country | US
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Telephone | 917-539-8024
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W 146TH ST APT 3K
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City | NEW YORK
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State | NY
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Zip | 10039-3917
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Country | US
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Telephone |
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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