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NPI 1396883856

NPI 1396883856 : THOMAS M. GOLDMAN PHD. : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1396883856
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS M. GOLDMAN PHD.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/04/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4777 E GALBRAITH RD 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45236-2725
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    Country              |    US
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    Telephone            |    513-686-5165
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5993 ROPES DR 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45244-3841
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    Country              |    US
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    Telephone            |    513-686-5165
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    Fax                  |    513-686-4922
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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        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    A0347
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    License Number State |    OH
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