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General NPI Number Information
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NPI Number | 1235143447
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Entity Type | Individual
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Provider Name | BARBARA LYNN GOULD M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 1023 APEL AVE
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City | WORTHINGTON
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State | MN
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Zip | 56187-1680
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Country | US
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Telephone | 507-372-4608
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 APEL AVE
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City | WORTHINGTON
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State | MN
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Zip | 56187-1680
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Country | US
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Telephone | 507-372-4608
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34003
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 44665
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5253
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34003
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 44665
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5253
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License Number State | AK
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