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General NPI Number Information
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NPI Number | 1770700262
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Entity Type | Individual
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Provider Name | LAWRENCE P GOLDING DDS
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3150 ERIE BLVD
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City | DE WITT
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State | NY
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Zip | 13214
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Country | US
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Telephone | 315-446-7442
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 NOTTINGHAM RD
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City | JAMESVILLE
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State | NY
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Zip | 13078
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Country | US
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Telephone | 315-445-0753
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Fax | 315-445-5541
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22351
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License Number State | NY
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