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General NPI Number Information
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NPI Number | 1548287519
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Entity Type | Organization
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Legal Business Name | ELLEN GOLDEN, DPM, PC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 4 DEARFIELD DR SUITE 106
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City | GREENWICH
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State | CT
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Zip | 06831-5351
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Country | US
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Telephone | 203-622-7504
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Fax |
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Provider Business Mailing Address
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Address Line | 4 DEARFIELD DR SUITE 106
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City | GREENWICH
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State | CT
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Zip | 06831-5351
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Country | US
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Telephone | 203-622-7504
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELLEN GOLDEN
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Credential | DPM
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Telephone | 203-622-7504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 000626
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License Number State | CT
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