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General NPI Number Information
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NPI Number | 1164616314
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Entity Type | Individual
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Provider Name | JASON LAUREN GOULD MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 800 E CYPRESS CREEK RD STE 304
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City | FORT LAUDERDALE
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State | FL
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Zip | 33334-3522
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Country | US
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Telephone | 954-289-8155
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Fax | 954-938-5339
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Provider Business Mailing Address
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Address Line | 800 E CYPRESS CREEK RD STE 304
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City | FORT LAUDERDALE
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State | FL
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Zip | 33334-3522
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Country | US
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Telephone | 954-289-8155
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Fax | 954-938-5339
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | ME144817
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License Number State | FL
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