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General NPI Number Information
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NPI Number | 1336648690
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Entity Type | Organization
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Legal Business Name | ABILASH GOPAL MD PC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 2161 UNION ST STE 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4003
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Country | US
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Telephone | 415-494-9329
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Fax | 415-952-9333
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Provider Business Mailing Address
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Address Line | 2161 UNION ST STE 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4003
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Country | US
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Telephone | 415-494-9329
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Fax | 415-952-9333
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABILASH GOPAL
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Credential | MD
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Telephone | 415-494-9329
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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 | A109317
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License Number State | CA
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