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General NPI Number Information
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NPI Number | 1477873768
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Entity Type | Individual
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Provider Name | JANA MARIE GOLDBERG M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 818 W 7TH ST STE 930
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City | LOS ANGELES
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State | CA
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Zip | 90017-3476
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Country | US
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Telephone | 646-586-9908
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4238
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 243976
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 175560
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 64855
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD447998
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2022-01111
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DR.0068408
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2022-01111
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License Number State | SC
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Taxonomy #8
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | T9913
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 94995
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License Number State | GA
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Taxonomy #10
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD61234581
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License Number State | WA
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Taxonomy #11
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 301265
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License Number State | NY
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