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General NPI Number Information
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NPI Number | 1841293842
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Entity Type | Individual
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Provider Name | JOEL M GOLDENBERG DDS
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 639 HEMPSTEAD TPKE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-4334
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Country | US
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Telephone | 516-565-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 15 DELL DR
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City | EAST ROCKAWAY
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State | NY
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Zip | 11518-2107
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Country | US
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Telephone | 516-650-2417
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 050103
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License Number State | NY
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