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General NPI Number Information
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NPI Number | 1821257478
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Entity Type | Individual
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Provider Name | PALLAVI GOWDA D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2008
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 3202 TOWER OAKS BLVD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 888-880-3202
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Fax | 660-951-7834
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Provider Business Mailing Address
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Address Line | 3202 TOWER OAKS BLVD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 888-880-3202
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Fax | 833-450-0937
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 89986663
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H0077149
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License Number State | MD
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