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NPI 1609699248

NPI 1609699248 : NATALIA GORSKI OD : TOWSON, MD

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General NPI Number Information
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    NPI Number           |    1609699248
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIA GORSKI OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/04/2024
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    Last Update Date     |    11/04/2024
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Provider Practice Location Address
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    Address Line         |    40 YORK RD # 500 
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    City                 |    TOWSON
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    State                |    MD
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    Zip                  |    21204-5243
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    Country              |    US
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    Telephone            |    410-616-9952
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1909 HARCOURT AVE 
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    City                 |    CROFTON
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    State                |    MD
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    Zip                  |    21114-2103
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    Country              |    US
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    Telephone            |    
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    TA3021
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    TA3021
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    License Number State |    MD
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