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General NPI Number Information
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NPI Number | 1114668167
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Entity Type | Individual
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Provider Name | DANIEL M GOLDSTEIN
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Gender | Male
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 71 ELM ST
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City | MILFORD
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State | NH
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Zip | 03055-4810
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Country | US
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Telephone | 603-673-2907
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Fax |
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Provider Business Mailing Address
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Address Line | 34 KESSLER FARM DR APT 588
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City | NASHUA
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State | NH
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Zip | 03063-7145
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Country | US
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Telephone | 914-980-5590
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-2024-0038
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 457925
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License Number State | NH
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