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General NPI Number Information
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NPI Number | 1316156037
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Entity Type | Organization
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Legal Business Name | DR.HARVEY GOLDSTONE, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 2280 E CARSON ST
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City | LONG BEACH
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State | CA
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Zip | 90807-3044
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Country | US
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Telephone | 562-422-2020
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Fax | 562-426-2214
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Provider Business Mailing Address
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Address Line | 2280 E CARSON ST
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City | LONG BEACH
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State | CA
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Zip | 90807-3044
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Country | US
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Telephone | 562-422-2020
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Fax | 562-426-2214
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Authorized Official
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Title or Position | PRESIDENT HEAD OF OPERATIONS DOCTOR
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Name | DR. HARVEY ROY GOLDSTONE
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Credential | O.D.
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Telephone | 562-422-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5273T
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License Number State | CA
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