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General NPI Number Information
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NPI Number | 1558891218
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Entity Type | Individual
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Provider Name | LAUREN ASHLEY GOLDING PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 333 1ST ST STE A
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2661
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Country | US
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Telephone | 888-803-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 130 TOWN CENTER DR STE 203
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City | TROY
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State | MI
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Zip | 48084-1744
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA58784
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | PA58784
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | PA58784
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA58784
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License Number State | CA
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