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General NPI Number Information
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NPI Number | 1801144183
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Entity Type | Organization
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Legal Business Name | DAVID A. GOLDMAN MD, LLC
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Dates
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Enumeration Date | 08/17/2012
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 3502 KYOTO GARDENS DR STE B
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410
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Country | US
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Telephone | 561-630-7120
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Fax | 561-630-7122
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Provider Business Mailing Address
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Address Line | 3502 KYOTO GARDENS DR STE B
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2899
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Country | US
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Telephone | 561-630-7120
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Fax | 561-630-7122
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Authorized Official
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Title or Position | MGMR
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Name | DAVID A GOLDMAN
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Credential | MD
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Telephone | 561-630-7120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME95657
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License Number State | FL
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