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General NPI Number Information
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NPI Number | 1366466294
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Entity Type | Individual
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Provider Name | MARLA GOLDEN D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 6817 SOUTHPOINT PKWY SUITE 1404
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6282
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Country | US
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Telephone | 904-260-1070
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Fax | 904-260-1170
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Provider Business Mailing Address
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Address Line | 6817 SOUTHPOINT PKWY SUITE 1404
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6282
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Country | US
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Telephone | 904-260-1070
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Fax | 904-260-1170
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | OS5788
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS5788
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License Number State | FL
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