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General NPI Number Information
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NPI Number | 1447207113
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Entity Type | Individual
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Provider Name | MOHAN S GULATI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 2401 PGA BLVD STE 130
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3515
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Country | US
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Telephone | 561-641-8787
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Fax | 561-919-9108
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Provider Business Mailing Address
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Address Line | 5484 SEA BISCUIT RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7811
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Country | US
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Telephone | 561-641-8787
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Fax | 561-919-9108
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME69967
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License Number State | FL
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