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General NPI Number Information
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NPI Number | 1184860991
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Entity Type | Individual
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Provider Name | BARBARA LAURA GOLDSTEIN P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 9805 63RD RD #7E
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City | REGO PARK
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State | NY
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Zip | 11374-1744
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Country | US
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Telephone | 718-459-7798
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Fax | 718-459-7798
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Provider Business Mailing Address
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Address Line | 9805 63RD RD #7E
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City | REGO PARK
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State | NY
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Zip | 11374-1744
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Country | US
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Telephone | 718-459-7798
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Fax | 718-459-7798
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 010862
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT-008985-E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2078
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 005504
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1225
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License Number State | NM
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Taxonomy #6
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00899-2401-0
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License Number State | UT
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