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General NPI Number Information
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NPI Number | 1477521623
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Entity Type | Individual
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Provider Name | CHINTAMANI BHASKAR GOKHALE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2006
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 310 STOCK ST STE 83
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City | HANOVER
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State | PA
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Zip | 17331-2276
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Country | US
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Telephone | 717-316-3030
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Fax | 717-316-1617
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Provider Business Mailing Address
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Address Line | 310 STOCK ST STE 83
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City | HANOVER
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State | PA
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Zip | 17331-2276
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Country | US
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Telephone | 717-316-3030
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Fax | 717-316-1617
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 46227
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD037788L
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License Number State | PA
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