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General NPI Number Information
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NPI Number | 1871014043
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Entity Type | Organization
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Legal Business Name | ANDREA GOLD
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 222 N SEPULVEDA BLVD
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City | EL SEGUNDO
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State | CA
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Zip | 90245-5648
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Country | US
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Telephone | 188-893-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 2132 KERRY HILL DR
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City | FORT COLLINS
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State | CO
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Zip | 80525-5762
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Country | US
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Telephone | 303-907-3426
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Fax |
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Authorized Official
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Title or Position | WOUND CARE SPECIALIST
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Name | MRS. ANDREA MICHELLE GOLD
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Credential | FNP
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Telephone | 303-907-3426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0993143-NP
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License Number State | CO
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