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General NPI Number Information
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NPI Number | 1073997623
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Entity Type | Organization
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Legal Business Name | GOSHEN PEDIATRICS, PC
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 2002 ROUTE 17M SUITE 8
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City | GOSHEN
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State | NY
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Zip | 10924
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Country | US
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Telephone | 845-291-7059
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Fax | 845-291-0905
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Provider Business Mailing Address
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Address Line | 2002 ROUTE 17M SUITE 8
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City | GOSHEN
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State | NY
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Zip | 10924
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Country | US
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Telephone | 845-291-7059
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Fax | 845-291-0905
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES N WAPSHARE
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Credential | MD
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Telephone | 845-291-7059
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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 | 189547
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License Number State | NY
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