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General NPI Number Information
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NPI Number | 1376074344
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Entity Type | Individual
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Provider Name | MARIA ELENA GOLDEN M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | GEISINGER MEDICAL CTR 100 N. ACADEMY AVE.
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City | DANVILLE
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State | PA
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Zip | 17822
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Country | US
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Telephone | 610-322-4461
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Fax |
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Provider Business Mailing Address
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Address Line | 215 WHITESTONE DR
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1329
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Country | US
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Telephone | 610-322-4461
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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