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General NPI Number Information
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NPI Number | 1518453422
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Entity Type | Individual
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Provider Name | PRIYANKA VISHWANATH GOGTE MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 3300 E SOUTH ST STE 308
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City | LAKEWOOD
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State | CA
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Zip | 90805-4598
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Country | US
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Telephone | 562-630-3111
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Fax | 562-630-3107
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Provider Business Mailing Address
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Address Line | PO BOX 4249
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City | WHITTIER
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State | CA
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Zip | 90607-4249
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Country | US
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Telephone | 562-696-9265
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Fax | 877-887-8750
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A174257
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A174257
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License Number State | CA
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