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General NPI Number Information
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NPI Number | 1417170739
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Entity Type | Individual
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Provider Name | ROBERT T GOLIA DDS, FAGD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 2319 WHITNEY AVE HAMDEN CENTER SUITE 1-C
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City | HAMDEN
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State | CT
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Zip | 06518-3509
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Country | US
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Telephone | 203-248-7400
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Fax | 203-248-5310
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Provider Business Mailing Address
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Address Line | 2319 WHITNEY AVE HAMDEN CENTER SUITE 1-C
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City | HAMDEN
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State | CT
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Zip | 06518-3509
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Country | US
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Telephone | 203-248-7400
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Fax | 203-248-5310
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5962
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License Number State | CT
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