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General NPI Number Information
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NPI Number | 1386870152
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Entity Type | Individual
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Provider Name | AMIR CYRUS GOHARI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2009
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 9063 SHADY GROVE CT
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1301
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Country | US
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Telephone | 301-921-6660
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Fax |
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Provider Business Mailing Address
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Address Line | 8505 HAZELWOOD DR
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City | BETHESDA
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State | MD
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Zip | 20814-1407
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Country | US
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Telephone | 301-530-5231
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0075229
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License Number State | MD
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