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General NPI Number Information
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NPI Number | 1710051115
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Entity Type | Individual
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Provider Name | TINA GOLDMAN MSN, RN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1423 N WALNUT AVE STE 104
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-6010
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Country | US
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Telephone | 830-203-6395
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Fax | 830-203-6394
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Provider Business Mailing Address
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Address Line | 1423 N WALNUT AVE STE 104
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-6010
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Country | US
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Telephone | 830-203-6395
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Fax | 830-203-6394
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP111845
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License Number State | TX
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