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General NPI Number Information
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NPI Number | 1568484004
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Entity Type | Individual
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Provider Name | WILLIAM JUDE GOULD DO
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 3445 HIGH POINT BLVD SUITE 202
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City | BETHLEHEM
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State | PA
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Zip | 18017-7809
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Country | US
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Telephone | 610-691-2282
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Fax | 610-691-2410
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Provider Business Mailing Address
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Address Line | 3445 HIGH POINT BLVD SUITE 202
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City | BETHLEHEM
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State | PA
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Zip | 18017-3602
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Country | US
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Telephone | 610-691-2282
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Fax | 610-691-2410
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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 | OS010000-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | OS-0100000-L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OS010000L
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License Number State | PA
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