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General NPI Number Information
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NPI Number | 1275971012
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Entity Type | Individual
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Provider Name | LAUREN GOLDMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1111 WESTCHESTER AVE MEDICAL OFFICE
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City | WHITE PLAINS
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State | NY
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Zip | 10604-3525
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Country | US
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Telephone | 914-253-2770
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Fax | 914-253-3557
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Provider Business Mailing Address
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Address Line | 76 9TH AVENUE MEDICAL OFFICE- GOOGLE
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 888-926-9385
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Fax | 212-273-4395
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 004249
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License Number State | NY
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