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General NPI Number Information
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NPI Number | 1730351362
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Entity Type | Organization
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Legal Business Name | GERALD R GOSS D.O., P.A.
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 1713 FOXBOWER RD
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City | ORLANDO
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State | FL
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Zip | 32825-6506
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Country | US
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Telephone | 407-277-7671
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Fax | 407-277-7326
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Provider Business Mailing Address
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Address Line | 1713 FOXBOWER RD
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City | ORLANDO
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State | FL
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Zip | 32825-6506
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Country | US
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Telephone | 407-277-7671
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Fax | 407-277-7326
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Authorized Official
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Title or Position | DR
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Name | DR. GERALD R GOSS
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Credential | D.O.
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Telephone | 407-277-7671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS0001386
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License Number State | FL
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