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General NPI Number Information
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NPI Number | 1124148705
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Entity Type | Organization
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Legal Business Name | DAVID DIXON GOLDEN, OD, PA
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 110 MAIN ST
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City | LOGANSPORT
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State | LA
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Zip | 71049-2996
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Country | US
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Telephone | 936-564-2634
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 399
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City | LOGANSPORT
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State | LA
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Zip | 71049-0399
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Country | US
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Telephone | 936-564-2634
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER/PRESIDENT
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Name | DAVID DIXON GOLDEN
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Credential | O.D.
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Telephone | 936-590-2764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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