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General NPI Number Information
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NPI Number | 1891195640
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Entity Type | Individual
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Provider Name | JOSEPH PATRICK GOLDSTEIN PT, DPT, MHA, ATC/L
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Gender | Male
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 8504 DARTON WAY STE 105
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City | RALEIGH
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State | NC
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Zip | 27616-9317
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Country | US
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Telephone | 929-207-1208
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Fax |
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Provider Business Mailing Address
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Address Line | 8504 DARTON WAY STE 105
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City | RALEIGH
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State | NC
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Zip | 27616-9317
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Country | US
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Telephone | 919-706-0520
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | LAT-4321
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P23226
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License Number State | NC
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