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General NPI Number Information
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NPI Number | 1497757462
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Entity Type | Individual
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Provider Name | ADAM SETH GOLDSTEIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 3000 COLISEUM DR STE 200
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City | HAMPTON
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State | VA
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Zip | 23666-5963
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Country | US
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Telephone | 757-736-7280
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 CHAPEL AVE W STE 301
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2062
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Country | US
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Telephone | 856-665-2017
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Fax | 856-488-6769
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MB07740400
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License Number State | NJ
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