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General NPI Number Information
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NPI Number | 1952669236
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Entity Type | Individual
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Provider Name | DANIEL C GOLD M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 12111 DARNESTOWN RD SUITE A
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City | GAITHERSBURG
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State | MD
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Zip | 20878-3211
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Country | US
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Telephone | 301-926-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 12111 DARNESTOWN RD SUITE A
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City | GAITHERSBURG
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State | MD
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Zip | 20878-3211
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Country | US
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Telephone | 301-926-3095
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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 | D0078975
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License Number State | MD
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