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General NPI Number Information
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NPI Number | 1750523031
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Entity Type | Individual
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Provider Name | ARON JAY GOULD-SIMON MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 1510 E HERNDON AVE STE 110
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City | FRESNO
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State | CA
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Zip | 93720-3333
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Country | US
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Telephone | 559-450-6742
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Fax | 559-450-6743
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Provider Business Mailing Address
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Address Line | 1111 E SPRUCE AVE STE 431
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City | FRESNO
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State | CA
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Zip | 93720-3330
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Country | US
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Telephone | 559-450-7449
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Fax | 559-450-7470
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | A119664
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | A119664
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | A119664
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License Number State | CA
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