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General NPI Number Information
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NPI Number | 1205086287
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Entity Type | Organization
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Legal Business Name | DAVID J. GOLDEN, DPM, LLC
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 145 DURHAM RD
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City | MADISON
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State | CT
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Zip | 06443-2674
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Country | US
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Telephone | 203-245-4216
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Fax |
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Provider Business Mailing Address
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Address Line | 145 DURHAM RD
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City | MADISON
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State | CT
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Zip | 06443-2674
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Country | US
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Telephone | 203-245-4216
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DAVID JOHN GOLDEN
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Credential | DPM
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Telephone | 203-245-4216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 000843
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License Number State | CT
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