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General NPI Number Information
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NPI Number | 1457512642
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Entity Type | Individual
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Provider Name | ADAM GOLDSTONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 1309 N FLAGLER DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3406
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Country | US
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Telephone | 561-650-6309
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Fax | 561-650-6421
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Provider Business Mailing Address
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Address Line | 1309 N FLAGLER DR DEPT. OF EMERGENCY MEDICINE
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3406
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Country | US
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Telephone | 561-650-6309
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Fax | 561-650-6421
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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 | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | ME 112344
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME 112344
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License Number State | FL
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