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General NPI Number Information
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NPI Number | 1063589430
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Entity Type | Organization
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Legal Business Name | MICHAEL S. GOLDMAN, M.D., INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 16260 VENTURA BLVD SUITE 300
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City | ENCINO
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State | CA
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Zip | 91436-2203
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Country | US
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Telephone | 818-905-3880
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Fax | 818-905-7806
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Provider Business Mailing Address
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Address Line | 16260 VENTURA BLVD SUITE 300
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City | ENCINO
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State | CA
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Zip | 91436-2203
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Country | US
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Telephone | 818-905-3880
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Fax | 818-905-7806
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL S. GOLDMAN
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Credential | M.D.
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Telephone | 818-905-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | A66810
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A66810
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License Number State | CA
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