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General NPI Number Information
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NPI Number | 1841347762
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Entity Type | Organization
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Legal Business Name | PETER A GOLD PSY D P A
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2770 INDIAN RIVER BLVD FL 3
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City | VERO BEACH
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State | FL
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Zip | 32960-4299
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Country | US
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Telephone | 954-445-7152
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 CARDINAL DR STE F
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City | VERO BEACH
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State | FL
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Zip | 32963-1979
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Country | US
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Telephone | 954-445-7152
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. PETER ALEXANDER GOLD
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Credential | PSY D
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Telephone | 954-445-7152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY7322
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License Number State | FL
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