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General NPI Number Information
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NPI Number | 1740416833
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Entity Type | Individual
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Provider Name | GEORGIA A GOLDFARB M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 18555 VENTURA BLVD SUITE B
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City | TARZANA
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State | CA
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Zip | 91356-4191
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Country | US
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Telephone | 310-628-1700
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Fax | 818-614-3087
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Provider Business Mailing Address
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Address Line | 20650 WHITECAP WAY
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City | MALIBU
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State | CA
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Zip | 90265-5359
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Country | US
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Telephone | 310-317-4768
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Fax | 818-614-3087
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A43687
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License Number State | CA
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