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General NPI Number Information
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NPI Number | 1306871249
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Entity Type | Individual
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Provider Name | DAVID GOLDBERGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 01/12/2018
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Provider Practice Location Address
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Address Line | 7261 SHERIDAN ST STE 100B
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2708
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Country | US
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Telephone | 754-777-8668
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Fax | 954-342-7624
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Provider Business Mailing Address
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Address Line | 3389 SHERIDAN ST STE 415
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3606
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Country | US
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Telephone | 954-648-9619
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 28979
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License Number State | FL
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