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General NPI Number Information
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NPI Number | 1386957819
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Entity Type | Organization
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Legal Business Name | RICHARD N. GOLDBERG, M.D., P.C.
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 211 NEW BRITAIN RD STE 206
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City | KENSINGTON
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State | CT
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Zip | 06037-3168
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Country | US
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Telephone | 860-832-8808
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Fax | 860-827-8565
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Provider Business Mailing Address
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Address Line | 211 NEW BRITAIN RD STE 206
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City | KENSINGTON
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State | CT
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Zip | 06037-3168
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Country | US
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Telephone | 860-832-8808
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Fax | 860-827-8565
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD N. GOLDBERG
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Credential | M.D.
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Telephone | 860-832-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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