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General NPI Number Information
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NPI Number | 1083047963
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Entity Type | Organization
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Legal Business Name | PETER H GOLDMANN MD PC
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 5875 BREMO RD SUITE 508
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City | RICHMOND
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State | VA
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Zip | 23226-1934
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Country | US
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Telephone | 804-285-1722
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Fax | 804-285-4753
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Provider Business Mailing Address
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Address Line | 5875 BREMO RD SUITE 508
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City | RICHMOND
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State | VA
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Zip | 23226-1934
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Country | US
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Telephone | 804-285-1722
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Fax | 804-285-4753
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER H GOLDMANN
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Credential | MD
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Telephone | 804-285-1722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101026380
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License Number State | VA
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