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General NPI Number Information
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NPI Number | 1033274063
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Entity Type | Individual
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Provider Name | DEENA GAIL GOLDING WMFT MT0000482
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2600 N MILITARY TRAIL STE 215 BOCA PSYCHIATRIC ASSOCIATES
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City | BOCA RATON
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State | FL
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Zip | 33431
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Country | US
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Telephone | 561-395-3778
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Fax | 561-395-5691
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Provider Business Mailing Address
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Address Line | 2600 N MILITARY TRAIL STE 215
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City | BOCA RATON
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State | FL
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Zip | 33431
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Country | US
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Telephone | 561-395-3778
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Fax | 561-395-5691
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MT0000482
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License Number State | FL
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