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General NPI Number Information
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NPI Number | 1649256124
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Entity Type | Individual
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Provider Name | ROBERT GOLDSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 2611 N DINUBA BLVD
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City | VISALIA
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State | CA
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Zip | 93291-9003
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Country | US
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Telephone | 559-733-6342
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Fax |
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Provider Business Mailing Address
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Address Line | 56 125 RIVIERA
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City | LAQUINTA
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State | CA
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Zip | 92253
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Country | US
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Telephone | 760-771-0154
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C34558
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License Number State | CA
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