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General NPI Number Information
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NPI Number | 1386758878
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Entity Type | Organization
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Legal Business Name | GOLD OPHTHALMOLOGIC ASSOCIATES, P.C.
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 780 MAIN ST SUITE 9
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-2148
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Country | US
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Telephone | 413-528-3355
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Fax | 413-528-1077
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Provider Business Mailing Address
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Address Line | 780 MAIN ST SUITE 9
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-2148
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Country | US
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Telephone | 413-528-3355
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Fax | 413-528-1077
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. JOSEPH B GOLD
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Credential | M.D., F.A.C.S.
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Telephone | 413-528-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 204444
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License Number State | MA
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