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General NPI Number Information
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NPI Number | 1447451539
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Entity Type | Individual
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Provider Name | AMITABH U GOSWAMI D.O., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 7255 N. CEDAR AVE SUITE 101
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City | FRESNO
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State | CA
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Zip | 93720-2930
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Country | US
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Telephone | 559-478-4757
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Fax | 559-323-4143
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Provider Business Mailing Address
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Address Line | 7255 N CEDAR AVE SUITE 101
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City | FRESNO
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State | CA
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Zip | 93720-3831
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Country | US
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Telephone | 559-478-4757
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Fax | 559-323-4143
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20A9044
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 20A9044
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License Number State | CA
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