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General NPI Number Information
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NPI Number | 1548337785
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Entity Type | Organization
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Legal Business Name | STEVEN S GOLD, D.D.S., P.A.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 7 CORPORATE CENTER CT STE A
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City | GREENSBORO
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State | NC
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Zip | 27408-3839
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Country | US
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Telephone | 336-286-1515
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Fax | 336-286-1517
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Provider Business Mailing Address
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Address Line | 7 CORPORATE CENTER CT STE A
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City | GREENSBORO
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State | NC
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Zip | 27408-3839
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Country | US
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Telephone | 336-286-1515
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Fax | 336-286-1517
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN SCOTT GOLD
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Credential | D.D.S.
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Telephone | 336-286-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6484
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License Number State | NC
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