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General NPI Number Information
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NPI Number | 1669661948
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Entity Type | Individual
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Provider Name | JULIA GOLD MD
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Gender | Female
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 5471 DR MARTIN LUTHER KING DR
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City | SAINT LOUIS
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State | MO
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Zip | 63112-4265
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Country | US
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Telephone | 314-367-5820
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Fax | 314-367-7010
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Provider Business Mailing Address
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Address Line | 5471 DR MARTIN LUTHER KING DR
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City | SAINT LOUIS
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State | MO
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Zip | 63112-4265
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Country | US
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Telephone | 314-367-5820
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Fax | 314-367-7010
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A116077
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD432597
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2014038421
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License Number State | MO
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