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General NPI Number Information
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NPI Number | 1386864841
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Entity Type | Individual
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Provider Name | ELIZABETH A. GOLDBERG CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA-DIVISION OF GI & NU
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-590-3358
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Fax |
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Provider Business Mailing Address
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Address Line | 901 GENERAL WAYNE DR
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City | WEST CHESTER
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State | PA
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Zip | 19382-8039
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Country | US
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Telephone |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP005785D
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License Number State | PA
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