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General NPI Number Information
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NPI Number | 1578770004
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Entity Type | Individual
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Provider Name | CARLO E GOPEZ M.D
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 138 CATHEDRAL ST
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City | ELKTON
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State | MD
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Zip | 21921-5562
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Country | US
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Telephone | 410-398-3041
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Fax | 410-392-6853
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Provider Business Mailing Address
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Address Line | 138 CATHEDRAL ST
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City | ELKTON
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State | MD
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Zip | 21921-5562
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Country | US
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Telephone | 410-398-3041
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Fax | 410-392-6853
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | D0065902
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License Number State | MD
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