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General NPI Number Information
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NPI Number | 1346233780
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Entity Type | Individual
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Provider Name | GARY E GOBERVILLE O.D
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 9804 S MILITARY TRL STE E7
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-3220
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Country | US
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Telephone | 561-738-5997
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Fax |
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone | 703-847-8899
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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 | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 2575
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | 2575
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 2575
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC2575
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License Number State | FL
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