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General NPI Number Information
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NPI Number | 1699181016
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Entity Type | Individual
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Provider Name | ANDREA MARGOT GOLDBERG ATC, OTC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 543 TAYLOR AVE
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City | COLUMBUS
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State | OH
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Zip | 43203-1278
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Country | US
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Telephone | 614-293-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 357 FALLIS RD
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City | COLUMBUS
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State | OH
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Zip | 43214-3727
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Country | US
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Telephone | 330-701-3580
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | AT.004837
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License Number State | OH
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