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General NPI Number Information
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NPI Number | 1114136702
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Entity Type | Individual
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Provider Name | DOUGLAS RUDOLPH GOLDSTEIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7114 FM 1960 RD E
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City | HUMBLE
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State | TX
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Zip | 77346-2702
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Country | US
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Telephone | 281-852-2424
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Fax | 281-852-1071
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Provider Business Mailing Address
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Address Line | 4138 VALLEY HAVEN DR
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City | KINGWOOD
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State | TX
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Zip | 77339-1953
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Country | US
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Telephone | 281-359-8289
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5387
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License Number State | TX
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