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General NPI Number Information
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NPI Number | 1376608554
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Entity Type | Organization
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Legal Business Name | GULF CENTRAL EARLY STEPS
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 3223 OLD OAK DR SARASOTA
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City | SARASOTA
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State | FL
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Zip | 34239-5020
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Country | US
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Telephone | 941-953-5700
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Fax | 941-955-6269
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Provider Business Mailing Address
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Address Line | 3223 OLD OAK DR
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City | SARASOTA
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State | FL
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Zip | 34239-5020
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Country | US
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Telephone | 941-953-5700
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Fax | 941-955-6169
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. NORMAN GOLDSTEIN
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Credential | M.D.
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Telephone | 941-487-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0003644
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License Number State | FL
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