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General NPI Number Information
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NPI Number | 1730203050
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Entity Type | Individual
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Provider Name | EWA GOSEK M.D.,
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 889 E FRANCIS DR SUITE A
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City | PALM SPRINGS
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State | CA
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Zip | 92262-2213
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Country | US
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Telephone | 760-861-0276
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Fax | 760-301-0070
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Provider Business Mailing Address
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Address Line | PO BOX 944 889 E FRANCIS DR. SUITE A
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City | PALM SPRINGS
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State | CA
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Zip | 92263-0944
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Country | US
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Telephone | 760-861-0276
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Fax | 760-301-0070
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C050187
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License Number State | CA
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