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General NPI Number Information
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NPI Number | 1023470309
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Entity Type | Individual
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Provider Name | ADAM GOLDEN
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Gender | Male
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3630 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-2609
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Country | US
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Telephone | 310-554-4127
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 800
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City | LYNWOOD
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State | CA
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Zip | 90262-0800
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Country | US
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Telephone | 845-323-7961
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 316679
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License Number State | NY
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