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General NPI Number Information
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NPI Number | 1326089764
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Entity Type | Organization
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Legal Business Name | SHELDON M. GOLDEN OD OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 11245 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90606-3111
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Country | US
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Telephone | 562-692-1208
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Fax | 562-695-6386
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Provider Business Mailing Address
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Address Line | 11245 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90606-3111
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Country | US
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Telephone | 562-692-1208
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Fax | 562-695-6386
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID B. GOLDEN
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Credential | O.D.
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Telephone | 562-692-1208
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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 | 8726
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License Number State | CA
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