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General NPI Number Information
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NPI Number | 1558351114
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Entity Type | Individual
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Provider Name | KIRSTEN ANNE GOLDHAMMER MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | BROOKE ARMY MEDICAL CENTER 3851 ROGER BROOKE DRIVE
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City | SAN ANTONIO
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-916-5000
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Fax | 210-916-5000
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Provider Business Mailing Address
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Address Line | AUDIE MURPHY VA HOSPITAL 7400 MERTON MINTER BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-949-3773
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L4250
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License Number State | TX
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