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General NPI Number Information
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NPI Number | 1306238712
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Entity Type | Individual
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Provider Name | SVETLANA GOLDMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2015
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Last Update Date | 02/22/2015
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Provider Practice Location Address
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Address Line | 1215 LEE ST 2ND FLOOR-HEART & VASCULAR CENTER ROOM 2214
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0816
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Country | US
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Telephone | 434-465-7042
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Fax |
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Provider Business Mailing Address
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Address Line | 827 RAINIER RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4044
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Country | US
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Telephone | 440-241-4170
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202212400
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License Number State | VA
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