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General NPI Number Information
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NPI Number | 1336552439
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Entity Type | Individual
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Provider Name | GOWRI G ARAGAM MD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 185 BERRY ST LBBY 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-5705
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Country | US
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Telephone | 415-514-4533
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Fax |
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Provider Business Mailing Address
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Address Line | 185 BERRY ST LBBY 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-5705
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Country | US
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Telephone | 415-514-4533
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L-259796
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A156440
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License Number State | CA
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