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General NPI Number Information
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NPI Number | 1750556791
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Entity Type | Organization
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Legal Business Name | RICHARD A. GOLDSTEIN, M.D.
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 568 RUIN CREEK RD SUITE 003
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City | HENDERSON
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State | NC
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Zip | 27536-5921
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Country | US
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Telephone | 252-492-5600
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Fax | 252-492-5685
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Provider Business Mailing Address
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Address Line | 568 RUIN CREEK RD SUITE 003
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City | HENDERSON
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State | NC
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Zip | 27536-5921
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Country | US
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Telephone | 252-492-5600
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Fax | 252-492-5685
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD A. GOLDSTEIN
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Credential | M.D.
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Telephone | 252-492-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 4578
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 93-00478
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License Number State | NC
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