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General NPI Number Information
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NPI Number | 1306086004
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Entity Type | Individual
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Provider Name | ALEX GOLDBERG LAC
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Gender | Male
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 02/20/2009
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Provider Practice Location Address
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Address Line | 300 N CIVIC DR SUITE 310
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City | WALNUT CREEK
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State | CA
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Zip | 94596-3663
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Country | US
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Telephone | 925-395-4184
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Fax | 319-856-1718
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Provider Business Mailing Address
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Address Line | 300 N CIVIC DR SUITE 310
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City | WALNUT CREEK
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State | CA
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Zip | 94596-3663
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Country | US
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Telephone | 925-395-4184
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Fax | 319-856-1718
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC12814
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License Number State | CA
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