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General NPI Number Information
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NPI Number | 1437475225
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Entity Type | Individual
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Provider Name | MICHAEL PAUL GOLDSMITH MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 215-590-1858
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Fax | 215-590-1415
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Provider Business Mailing Address
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Address Line | 3401 CIVIC CENTER BLVD STE 9329
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 267-425-9300
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Fax | 267-425-9331
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 69599
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | MD4653338
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 258803
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License Number State | MA
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