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General NPI Number Information
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NPI Number | 1699223776
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Entity Type | Individual
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Provider Name | TALIA GOLDEN
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Gender | Female
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 2000 N 2ND ST STE 101
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City | PHILADELPHIA
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State | PA
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Zip | 19122-1643
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Country | US
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Telephone | 215-259-8112
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 MORRIS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-1424
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Country | US
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Telephone | 215-837-0517
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 44SC06536400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CW025653
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License Number State | PA
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