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General NPI Number Information
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NPI Number | 1538163928
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Entity Type | Individual
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Provider Name | LISA M. GOLDING-GRANADO MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | GOLDING GRANADO MEDICAL ASSOCIATES 179 AVENUE AT THE COMMONS, SUITE 101
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4804
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Country | US
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Telephone | 732-380-6010
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Fax | 732-264-5554
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Provider Business Mailing Address
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Address Line | 179 AVENUE AT THE COMMONS SUITE 101
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City | SHREWSBURY
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State | NJ
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Zip | 07702
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Country | US
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Telephone | 732-380-6010
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Fax | 732-380-6012
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA70300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA07030000
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License Number State | NJ
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