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General NPI Number Information
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NPI Number | 1609814359
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Entity Type | Organization
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Legal Business Name | SUDHEER T GOGTE MD PC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2775 S 8TH AVE
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City | YUMA
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State | AZ
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Zip | 85364-7110
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Country | US
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Telephone | 928-726-2300
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Fax | 928-726-2317
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Provider Business Mailing Address
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Address Line | 2775 S 8TH AVE
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City | YUMA
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State | AZ
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Zip | 85364-7110
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Country | US
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Telephone | 928-726-2300
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Fax | 928-726-2317
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUDHEER T GOGTE
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Credential | MD
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Telephone | 928-726-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 10907
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License Number State | AZ
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