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General NPI Number Information
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NPI Number | 1437159738
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Entity Type | Individual
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Provider Name | WILLIAM SCOTT GOLDSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 47670 VAN DYKE AVE
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48317-3302
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Country | US
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Telephone | 586-323-2020
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Fax | 586-323-4145
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Provider Business Mailing Address
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Address Line | 30150 TELEGRAPH RD STE 271
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City | BINGHAM FARMS
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State | MI
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Zip | 48025-4521
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Country | US
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Telephone | 248-395-5166
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Fax | 586-323-4145
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301056066
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License Number State | MI
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