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General NPI Number Information
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NPI Number | 1487637997
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Entity Type | Individual
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Provider Name | DAVID L GOODMAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 3601 S CLARKSON SUITE 200
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3946
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Country | US
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Telephone | 303-761-4343
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Fax | 303-761-0943
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Provider Business Mailing Address
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Address Line | 3601 S CLARKSON SUITE 200
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3946
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Country | US
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Telephone | 303-761-4343
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Fax | 303-761-0943
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 31598
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License Number State | CO
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