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General NPI Number Information
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NPI Number | 1639732845
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Entity Type | Individual
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Provider Name | IAN ALEXANDER GOLD MD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 2116 ARLINGTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90018-1353
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Country | US
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Telephone | 323-334-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 ARLINGTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90018-1353
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Country | US
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Telephone | 323-334-9000
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Fax | 830-783-3473
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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 | A195875
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A195875
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License Number State | CA
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