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General NPI Number Information
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NPI Number | 1073756912
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Entity Type | Organization
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Legal Business Name | GOLDMAN CHIROPRACTIC PL
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 04/08/2009
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Provider Practice Location Address
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Address Line | 3467 PINE RIDGE RD 102
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City | NAPLES
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State | FL
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Zip | 34109-3832
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Country | US
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Telephone | 239-592-5367
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Fax | 239-592-5048
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Provider Business Mailing Address
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Address Line | 3467 PINE RIDGE RD 102
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City | NAPLES
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State | FL
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Zip | 34109-3832
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Country | US
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Telephone | 239-592-5367
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Fax | 239-592-5048
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JAMES GOLDMAN
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Credential | D.C.
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Telephone | 239-592-5367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 7506
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License Number State | FL
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