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General NPI Number Information
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NPI Number | 1508836396
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Entity Type | Individual
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Provider Name | DAVID CHRISTOPHER GORE MD
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 5813 PRESTON RD BLDG 554 - STE 207
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City | PLANO
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State | TX
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Zip | 75093-7354
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Country | US
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Telephone | 469-583-0820
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Fax |
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Provider Business Mailing Address
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Address Line | 5813 PRESTON RD BLDG 554 - STE 207
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City | PLANO
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State | TX
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Zip | 75093-7354
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Country | US
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Telephone | 469-583-0820
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Fax |
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | J6469
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License Number State | TX
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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 | J6469
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License Number State | TX
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