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General NPI Number Information
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NPI Number | 1164461083
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Entity Type | Organization
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Legal Business Name | ROBERT GOLD MD,INC.
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 45 ERBES RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-5802
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Country | US
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Telephone | 818-404-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 45 ERBES RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-5802
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Country | US
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Telephone | 818-404-3200
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | ROBERT A GOLD
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Credential | MD
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Telephone | 818-404-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G47614
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G47614
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | G47614
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License Number State | CA
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