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General NPI Number Information
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NPI Number | 1902211378
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Entity Type | Individual
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Provider Name | GOPALKUMAR RAKESH MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 400 ROSE STREET
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-323-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 BEAUMONT CENTRE LN APT 27201
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City | LEXINGTON
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State | KY
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Zip | 40513-1767
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Country | US
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Telephone |
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201800050
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 51476
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2018-00050
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License Number State | NC
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