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NPI 1164683173

NPI 1164683173 : MARGARET C GOLDBERG AUD., CCC-A : LAKELAND, FL

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General NPI Number Information
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    NPI Number           |    1164683173
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET C GOLDBERG AUD., CCC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/23/2008
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    Last Update Date     |    05/06/2025
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Provider Practice Location Address
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    Address Line         |    1755 N FLORIDA AVE 
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    City                 |    LAKELAND
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    State                |    FL
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    Zip                  |    33805
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    Country              |    US
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    Telephone            |    863-680-7000
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    Fax                  |    866-264-8519
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Provider Business Mailing Address
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    Address Line         |    2815 CHATSWORTH LN 
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    City                 |    LAKELAND
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    State                |    FL
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    Zip                  |    33812-3876
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    Country              |    US
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    Telephone            |    863-337-4923
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    002212
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    AY2256
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    License Number State |    FL
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