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General NPI Number Information
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NPI Number | 1720931488
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Entity Type | Organization
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Legal Business Name | GOLD PATHWAY PLLC
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 11825 WOODBINE ST NW
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City | COON RAPIDS
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State | MN
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Zip | 55433-2671
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Country | US
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Telephone | 612-499-0294
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Fax |
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Provider Business Mailing Address
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Address Line | 11825 WOODBINE ST NW
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City | COON RAPIDS
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State | MN
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Zip | 55433-2671
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Country | US
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Telephone | 612-499-0294
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. WILL GOLD
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Credential | LP
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Telephone | 612-499-0294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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