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General NPI Number Information
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NPI Number | 1780056523
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Entity Type | Individual
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Provider Name | LANCE GOODMAN R.PH
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Gender | Male
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 462 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-562-3605
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Fax | 212-562-2260
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Provider Business Mailing Address
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Address Line | 21 HOLLY DR
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City | SYOSSET
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State | NY
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Zip | 11791-5719
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Country | US
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Telephone | 646-210-3741
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Fax |
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 029503-1
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License Number State | NY
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