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General NPI Number Information
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NPI Number | 1871697995
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Entity Type | Individual
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Provider Name | STEVEN LOUIS GOLDMAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 7 HIGH ST SUITE 305
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City | HUNTINGTON
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State | NY
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Zip | 11743-7605
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Country | US
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Telephone | 631-549-5864
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Fax | 631-549-2869
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Provider Business Mailing Address
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Address Line | 7 HIGH ST SUITE 305
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City | HUNTINGTON
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State | NY
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Zip | 11743-7605
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Country | US
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Telephone | 631-549-5864
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Fax | 631-549-2869
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 106700
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 106700
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License Number State | NY
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