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General NPI Number Information
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NPI Number | 1861519910
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Entity Type | Organization
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Legal Business Name | DON L. GOLDENBERG MD PC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 2000 WASHINGTON ST SUITE 304
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City | NEWTON
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State | MA
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Zip | 02462-1650
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Country | US
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Telephone | 617-243-5440
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Fax | 617-243-6453
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Provider Business Mailing Address
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Address Line | PO BOX 848740
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City | BOSTON
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State | MA
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Zip | 02284-8740
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Country | US
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Telephone | 617-243-5440
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Fax | 617-243-6453
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DON L. GOLDENBERG
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Credential | MD
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Telephone | 617-243-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 34653
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License Number State | MA
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