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General NPI Number Information
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NPI Number | 1811041411
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Entity Type | Individual
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Provider Name | ANDREW TODD GOLDSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3 WASHINGTON CIR NW SUITE 205
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City | WASHINGTON
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State | DC
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Zip | 20037-2356
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Country | US
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Telephone | 202-887-0568
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Fax | 202-659-6481
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Provider Business Mailing Address
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Address Line | 989 STONINGTON DR
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City | ARNOLD
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State | MD
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Zip | 21012-1657
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Country | US
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Telephone | 410-757-8740
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Fax | 410-757-8741
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | D0052871
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD33398
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 201887
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License Number State | NY
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