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General NPI Number Information
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NPI Number | 1710192869
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Entity Type | Individual
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Provider Name | DEBORAH SUE GOLOB MD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 2281 116TH AVE NE STE 200
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City | BELLEVUE
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State | WA
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Zip | 98004-3037
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Country | US
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Telephone | 425-454-0526
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Fax | 425-455-0076
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Provider Business Mailing Address
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Address Line | 1603 116TH AVE NE STE 112
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City | BELLEVUE
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State | WA
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Zip | 98004-3009
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Country | US
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Telephone | 425-454-0526
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Fax | 425-455-0076
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD00044606
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License Number State | WA
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