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General NPI Number Information
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NPI Number | 1578511978
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Entity Type | Individual
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Provider Name | ROBERT B GORE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 499 E HAMPDEN AVE #190
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2780
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Country | US
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Telephone | 303-788-0808
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Fax | 303-788-7763
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Provider Business Mailing Address
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Address Line | 499 E HAMPDEN AVE #190
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2780
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Country | US
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Telephone | 303-788-0808
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Fax | 303-788-7763
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 22446
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License Number State | CO
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