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General NPI Number Information
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NPI Number | 1538349816
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Entity Type | Organization
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Legal Business Name | BARRY J GOODMAN DC PC
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 156 LONG BEACH ROAD
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City | ISLAND PARK
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State | NY
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Zip | 11558
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Country | US
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Telephone | 516-889-4280
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Fax | 516-431-3757
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Provider Business Mailing Address
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Address Line | 156 LONG BEACH ROAD
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City | ISLAND PARK
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State | NY
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Zip | 11558
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Country | US
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Telephone | 516-889-4280
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Fax | 516-431-3757
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | DR. BARRY J GOODMAN
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Credential | DC
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Telephone | 516-889-4280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | NY5343
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License Number State | NY
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