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General NPI Number Information
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NPI Number | 1447881313
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Entity Type | Individual
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Provider Name | VANESSA SOPHIA GOLDING RN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 160 LAWRENCE AVE
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City | BROOKLYN
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State | NY
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Zip | 11230-1103
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Country | US
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Telephone | 212-204-5178
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 E 41ST ST APT 6G
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City | BROOKLYN
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State | NY
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Zip | 11234-2937
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Country | US
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Telephone | 718-909-8132
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 502262
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License Number State | NY
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