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General NPI Number Information
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NPI Number | 1558244624
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Entity Type | Individual
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Provider Name | WILLIAM HOWARD GOLD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 950 E HAVERFORD RD STE 200
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City | BRYN MAWR
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State | PA
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Zip | 19010-3851
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Country | US
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Telephone | 610-527-0830
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Fax |
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Provider Business Mailing Address
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Address Line | 324 UNRUH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-4630
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Country | US
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Telephone | 215-317-9215
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Fax |
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | PA
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