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General NPI Number Information
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NPI Number | 1548773039
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Entity Type | Organization
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Legal Business Name | GOLDUNN YEARS GERIATRIC MEDICINE INC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 5355 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34606-4540
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Country | US
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Telephone | 352-616-0075
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Fax | 352-616-0072
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Provider Business Mailing Address
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Address Line | 5355 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34606-4540
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Country | US
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Telephone | 352-616-0075
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Fax | 352-616-0072
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Authorized Official
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Title or Position | OWNER
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Name | CATERINA GOLDBERG-DUNNETT
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Credential | ARNP
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Telephone | 352-616-0075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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