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General NPI Number Information
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NPI Number | 1215355714
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Entity Type | Individual
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Provider Name | ALEXANDRA DUBIKOVSKY GOLDEN MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 3181 SW SAM JACKSON PARK RD
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-494-7641
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Fax | 503-494-8368
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Provider Business Mailing Address
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Address Line | 5520 LBJ FWY STE 290
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City | DALLAS
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State | TX
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Zip | 75240-6246
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Country | US
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Telephone | 972-636-5727
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Fax | 972-408-0711
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD197071
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | T5571
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD197071
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License Number State | OR
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