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General NPI Number Information
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NPI Number | 1063432680
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Entity Type | Individual
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Provider Name | ELIE A GOLDENBERG MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/24/2017
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Provider Practice Location Address
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Address Line | 2063 KLOCKNER RD FL 1
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City | HAMILTON
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State | NJ
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Zip | 08690-3414
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Country | US
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Telephone | 609-631-1001
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Fax | 609-588-5970
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Provider Business Mailing Address
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Address Line | 2063 KLOCKNER ROAD 1ST FLOOR
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City | HAMILTON
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State | NJ
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Zip | 08690
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Country | US
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Telephone | 609-631-1001
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Fax | 609-588-5970
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 233552
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 055362
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 13284
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA10014800
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License Number State | NJ
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