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General NPI Number Information
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NPI Number | 1538144951
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Entity Type | Individual
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Provider Name | THOMAS M GOLBERT M D
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Gender | Male
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 12/16/2016
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Provider Practice Location Address
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Address Line | 706 ALEXANDER RD
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-243-0100
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Fax | 609-243-0055
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Provider Business Mailing Address
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Address Line | 18 N 3RD AVE
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City | HIGHLAND PARK
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State | NJ
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Zip | 08904-2408
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Country | US
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Telephone | 732-545-0094
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Fax | 732-545-2750
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 15709
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 14911020
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 42318
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 25MA07675400
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License Number State | NJ
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