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General NPI Number Information
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NPI Number | 1497915185
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Entity Type | Individual
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Provider Name | MONA GHOSH MD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 4495 MILITARY TRL STE 101
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City | JUPITER
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State | FL
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Zip | 33458-4838
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Country | US
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Telephone | 561-799-3722
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Fax |
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Provider Business Mailing Address
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Address Line | 127 HILLSHIRE CT
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City | INVERNESS
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State | IL
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Zip | 60010-6439
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Country | US
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Telephone | 312-485-3444
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Fax | 847-304-0346
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 036121100
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036121100
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME154936
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License Number State | FL
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