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General NPI Number Information
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NPI Number | 1134362734
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Entity Type | Organization
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Legal Business Name | DEBORAH GOLDMAN, O.D., P.A.
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 2205 STATE ROAD 7 SUITE 400
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-792-3387
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Fax | 561-792-8055
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Provider Business Mailing Address
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Address Line | 2205 STATE ROAD 7 SUITE 400
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-792-3387
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Fax | 561-792-8055
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBORAH S. GOLDMAN
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Credential | O.D.
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Telephone | 561-792-3387
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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 | OPC3233
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License Number State | FL
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