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General NPI Number Information
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NPI Number | 1265586986
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Entity Type | Organization
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Legal Business Name | TERRY GOLDEN, D.C., P.L.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6490 CENTRAL AVE
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City | ST PETERSBURG
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State | FL
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Zip | 33707-1329
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Country | US
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Telephone | 727-344-0533
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Fax | 727-343-2859
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Provider Business Mailing Address
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Address Line | 6490 CENTRAL AVE
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City | ST PETERSBURG
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State | FL
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Zip | 33707-1329
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Country | US
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Telephone | 727-344-0533
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Fax | 727-343-2859
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. TERENCE LIAM GOLDEN
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Credential | D.C.
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Telephone | 727-344-0533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | FL
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