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General NPI Number Information
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NPI Number | 1407836356
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Entity Type | Individual
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Provider Name | DAVID S. GOLDBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 5115 MARYLAND WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-7512
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Country | US
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Telephone | 615-377-0716
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 MARYLAND WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-7512
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Country | US
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Telephone | 615-377-0716
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 04-47230
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | C1278
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 24133
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License Number State | TN
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