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General NPI Number Information
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NPI Number | 1043673270
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Entity Type | Individual
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Provider Name | ALEXANDER S GOLEC MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 200 N WOLFE ST
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City | BALTIMORE
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State | MD
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Zip | 21287-0011
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Country | US
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Telephone | 410-955-2910
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Fax | 410-502-5440
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Provider Business Mailing Address
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Address Line | 200 N WOLFE ST RM 2063
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City | BALTIMORE
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State | MD
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Zip | 21287-0011
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Country | US
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Telephone | 410-955-2910
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Fax | 410-502-5440
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0099006
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | D0099006
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | D0099006
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License Number State | MD
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