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General NPI Number Information
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NPI Number | 1558313965
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Entity Type | Organization
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Legal Business Name | NICOLE GOLDING M.D. P.S.C
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1504 SW 8TH AVE
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City | TOPEKA
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State | KS
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Zip | 66606-1632
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Country | US
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Telephone | 785-232-8559
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Fax | 785-232-8572
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Provider Business Mailing Address
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Address Line | 1504 SW 8TH AVE
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City | TOPEKA
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State | KS
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Zip | 66606-1632
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Country | US
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Telephone | 785-232-8559
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Fax | 785-232-8572
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | NICOLE GOLDING
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Credential | M.D.
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Telephone | 785-232-8566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0430700
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License Number State | KS
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