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General NPI Number Information
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NPI Number | 1154535847
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Entity Type | Individual
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Provider Name | JOSHUA GOLDBERG MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 3555 OLENTANGY RIVER RD SUITE 3050
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City | COLUMBUS
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State | OH
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Zip | 43214-3912
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Country | US
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Telephone | 614-566-5605
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Fax |
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Provider Business Mailing Address
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Address Line | 3555 OLENTANGY RIVER RD SUITE 3050
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City | COLUMBUS
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State | OH
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Zip | 43214-3912
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301086440
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 35.092027
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License Number State | OH
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