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General NPI Number Information
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NPI Number | 1215134366
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Entity Type | Organization
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Legal Business Name | HOWARD J GOLD MD PC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 1432 S DOBSON RD 106
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City | MESA
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State | AZ
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Zip | 85202-4768
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Country | US
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Telephone | 480-969-3637
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Fax | 480-969-6568
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Provider Business Mailing Address
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Address Line | 1432 S DOBSON RD 106
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City | MESA
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State | AZ
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Zip | 85202-4768
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Country | US
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Telephone | 480-969-3637
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Fax | 480-969-6568
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | JULIE CASILLAS
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Credential |
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Telephone | 480-969-4634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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