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General NPI Number Information
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NPI Number | 1841378841
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Entity Type | Individual
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Provider Name | MARSHALL G GOLDBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5353 BALBOA BLVD SUITE 104
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City | ENCINO
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State | CA
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Zip | 91316-2804
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Country | US
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Telephone | 818-789-7181
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Fax | 818-986-8322
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Provider Business Mailing Address
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Address Line | 5353 BALBOA BLVD SUITE 104
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City | ENCINO
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State | CA
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Zip | 91316-2804
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Country | US
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Telephone | 818-789-7181
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Fax | 818-986-8322
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | C25599
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | C25599
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License Number State | CA
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