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General NPI Number Information
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NPI Number | 1851609721
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Entity Type | Individual
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Provider Name | BRETT ADAM GOLDSTEIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 23 SE 22ND AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33062-5312
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Country | US
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Telephone | 954-871-1411
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Fax |
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Provider Business Mailing Address
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Address Line | 135 NW 94TH WAY
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7311
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Country | US
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Telephone | 954-592-9355
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH10038
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License Number State | FL
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