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General NPI Number Information
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NPI Number | 1649448341
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Entity Type | Individual
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Provider Name | KATARINA GAMBOSOVA M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 346 MAINE ST STE 160
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City | LAWRENCE
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State | KS
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Zip | 66044-1393
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Country | US
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Telephone | 785-217-4827
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Fax | 877-477-1312
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Provider Business Mailing Address
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Address Line | 346 MAINE ST STE 160
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City | LAWRENCE
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State | KS
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Zip | 66044-1393
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Country | US
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Telephone | 785-217-4827
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Fax | 877-477-1312
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 35.148992
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 04-341-81
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License Number State | KS
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