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General NPI Number Information
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NPI Number | 1619883758
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Entity Type | Organization
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Legal Business Name | RICHARD GOLDWASSER, MD AND ASSOCIATES
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 655 REDWOOD HWY FRONTAGE RD STE 261
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City | MILL VALLEY
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State | CA
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Zip | 94941-3011
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Country | US
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Telephone | 415-479-6000
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Fax | 415-507-2169
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Provider Business Mailing Address
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Address Line | 70 MITCHELL BLVD STE 106
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City | SAN RAFAEL
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State | CA
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Zip | 94903-2019
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Country | US
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Telephone | 415-479-6000
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Fax | 415-507-2169
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Authorized Official
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Title or Position | DOCTOR
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Name | RICHARD GOLDWASSER
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Credential | MD
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Telephone | 415-479-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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