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General NPI Number Information
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NPI Number | 1528312360
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Entity Type | Individual
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Provider Name | LYNN GOLDOWSKI M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 258 E PARKWOOD RD
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City | DECATUR
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State | GA
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Zip | 30030-2813
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Country | US
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Telephone | 404-371-1957
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Fax | 404-371-0531
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Provider Business Mailing Address
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Address Line | 258 E PARKWOOD RD
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City | DECATUR
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State | GA
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Zip | 30030-2813
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Country | US
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Telephone | 404-371-1957
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Fax | 404-371-0531
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 182536
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 40910
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License Number State | GA
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