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General NPI Number Information
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NPI Number | 1881878007
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Entity Type | Organization
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Legal Business Name | PHILIP R GOULD, M.D.
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 2500 E HALLANDALE BEACH BLVD SUITE QR
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4834
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Country | US
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Telephone | 954-456-2900
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Fax | 954-455-2388
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Provider Business Mailing Address
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Address Line | 2500 E HALLANDALE BEACH BLVD SUITE QR
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4834
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Country | US
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Telephone | 954-456-2900
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Fax | 954-455-2388
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP R GOULD
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Credential | M.D.
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Telephone | 954-456-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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