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General NPI Number Information
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NPI Number | 1295965762
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Entity Type | Individual
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Provider Name | DMITRY Y GOLDIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 601 E ROLLINS ST
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City | ORLANDO
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State | FL
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Zip | 32803-1248
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Country | US
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Telephone | 407-303-5600
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Fax | 317-705-5047
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Provider Business Mailing Address
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Address Line | 7704 MATAPEAKE BUSINESS DR STE 130
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City | BRANDYWINE
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State | MD
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Zip | 20613-3049
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Country | US
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Telephone | 301-358-6070
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Fax | 301-358-6111
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME129186
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036138512
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 036138512
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | D85994
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME129186
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License Number State | FL
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