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General NPI Number Information
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NPI Number | 1407894124
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Entity Type | Individual
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Provider Name | ATIYA H GOPALANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 18111 PRINCE PHILIP DR STE 126
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City | OLNEY
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State | MD
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Zip | 20832-1513
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Country | US
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Telephone | 301-570-4866
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Fax | 301-570-0236
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Provider Business Mailing Address
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Address Line | 18111 PRINCE PHILIP DR STE 126
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City | OLNEY
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State | MD
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Zip | 20832-1513
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Country | US
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Telephone | 301-570-4866
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Fax | 301-570-0236
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | D36981
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License Number State | MD
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