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NPI 1407742281

NPI 1407742281 : ANA HELENA GOLDSTEIN DMD : NEWBERRY, FL

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General NPI Number Information
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    NPI Number           |    1407742281
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    Entity Type          |    Individual 
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    Provider Name        |    ANA HELENA GOLDSTEIN DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/17/2025
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    13005 SW 1ST RD STE 233 
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    City                 |    NEWBERRY
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    State                |    FL
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    Zip                  |    32669-3266
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    Country              |    US
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    Telephone            |    352-541-0016
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5218 MAJORCA CLUB DR 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33486-8707
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    Country              |    US
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    Telephone            |    561-715-1566
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    30526
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    License Number State |    FL
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