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General NPI Number Information
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NPI Number | 1073787628
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Entity Type | Organization
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Legal Business Name | ALLEN GOLDSTEIN MD PC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 110-20 73RD RD 2J
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City | FOREST HILLS
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State | NY
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Zip | 11375-6308
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Country | US
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Telephone | 718-793-6161
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Fax | 718-544-6121
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Provider Business Mailing Address
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Address Line | 13716 72ND RD
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City | FLUSHING
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State | NY
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Zip | 11367-2393
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Country | US
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Telephone | 718-793-6161
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Fax | 718-544-6121
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLEN GOLDSTEIN
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Credential | MD
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Telephone | 718-793-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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