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General NPI Number Information
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NPI Number | 1164724159
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Entity Type | Organization
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Legal Business Name | DR. RONALD GOPPOLD P.C.
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 95 ALMSHOUSE RD SUITE 103
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City | RICHBORO
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State | PA
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Zip | 18954-1154
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Country | US
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Telephone | 215-357-5760
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Fax | 215-357-5731
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Provider Business Mailing Address
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Address Line | 95 ALMSHOUSE RD SUITE 103
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City | RICHBORO
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State | PA
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Zip | 18954-1154
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Country | US
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Telephone | 215-357-5760
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Fax | 215-357-5731
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD W GOPPOLD
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Credential | M.D.
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Telephone | 215-357-5760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD018778E
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License Number State | PA
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