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General NPI Number Information
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NPI Number | 1972501724
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Entity Type | Individual
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Provider Name | ROBERT E GOULD DO
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 450 ALKYRE RUN STE 360
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City | WESTERVILLE
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State | OH
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Zip | 43082-6914
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Country | US
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Telephone | 614-918-9808
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Fax | 614-918-9807
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Provider Business Mailing Address
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Address Line | 19645 PROGRESS DR
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City | STRONGSVILLE
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State | OH
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Zip | 44149-3205
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Country | US
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Telephone | 440-234-8833
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Fax | 440-234-3313
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 34009895
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License Number State | OH
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