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General NPI Number Information
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NPI Number | 1235049917
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Entity Type | Individual
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Provider Name | AUTUMN LYNN GOLD PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 4 HARVARD CIR STE 950
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1990
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Country | US
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Telephone | 561-264-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 19541 MONTANA LN
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City | BOCA RATON
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State | FL
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Zip | 33434-2724
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Country | US
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Telephone | 301-769-1807
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | FL
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