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General NPI Number Information
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NPI Number | 1609308154
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Entity Type | Individual
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Provider Name | VERA GOLDBERG MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1801 MISSISSIPPI AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20020-6120
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Country | US
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Telephone | 202-436-3060
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Fax | 202-436-3098
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Provider Business Mailing Address
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Address Line | 1133 E WEST HWY APT 1111W
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City | SILVER SPRING
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State | MD
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Zip | 20910-6812
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Country | US
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Telephone | 410-940-8255
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD600004276
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0094424
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License Number State | MD
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