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General NPI Number Information
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NPI Number | 1033300959
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Entity Type | Organization
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Legal Business Name | GO AND GO MD PA
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 3452 W BOYNTON BEACH BLVD SUITE 1-2
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4633
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Country | US
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Telephone | 561-736-2900
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Fax | 561-736-8444
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Provider Business Mailing Address
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Address Line | 3452 W BOYNTON BEACH BLVD SUITE 1-2
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4633
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Country | US
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Telephone | 561-736-2900
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Fax | 561-736-8444
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JACQUELINE GO-FARBER
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Credential |
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Telephone | 561-736-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME36211
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME0041663
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License Number State | FL
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