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General NPI Number Information
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NPI Number | 1588845705
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Entity Type | Individual
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Provider Name | BRIAN SETH GOLDSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 333 N SANTA ROSA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 210-704-8829
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Fax |
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Provider Business Mailing Address
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Address Line | 4499 MEDICAL DR STE 289
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3712
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Country | US
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Telephone | 210-614-3264
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Fax | 210-615-0888
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | N9213
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License Number State | TX
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