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General NPI Number Information
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NPI Number | 1518673383
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Entity Type | Organization
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Legal Business Name | GOLDBERG PAWSITIVE TOUCH CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1109 8TH ST
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City | CORONADO
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State | CA
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Zip | 92118-2217
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Country | US
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Telephone | 619-537-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 4 BRIDGETOWN BND
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City | CORONADO
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State | CA
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Zip | 92118-3258
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Country | US
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Telephone | 619-820-8477
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | CASSANDRA GOLDBERG
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Credential | D.C.
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Telephone | 619-820-8477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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