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General NPI Number Information
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NPI Number | 1831288554
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Entity Type | Individual
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Provider Name | BERNARD GOLDSTEIN PA
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 13615 BRUCE B DOWNS BLVD SUITE 112
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City | TAMPA
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State | FL
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Zip | 33613-4607
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Country | US
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Telephone | 813-972-3338
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Fax | 813-977-9070
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Provider Business Mailing Address
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Address Line | 13615 BRUCE B DOWNS BLVD SUITE 112
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City | TAMPA
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State | FL
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Zip | 33613-4607
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Country | US
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Telephone | 813-972-3338
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Fax | 813-977-9070
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO0000369
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License Number State | FL
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