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General NPI Number Information
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NPI Number | 1891735130
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Entity Type | Individual
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Provider Name | ROBERT N GOLDEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 7974 UW HEALTH COURT UW MEDICAL FOUNDATION
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City | MIDDLETON
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State | WI
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Zip | 53562
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Country | US
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Telephone | 608-263-4910
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Fax | 608-265-3286
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Provider Business Mailing Address
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Address Line | 750 HIGHLAND AVENUE, 4129 HSLC UW-MADISON SCHOOL OF MEDICINE AND PUBLIC HEALTH
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City | MADISON
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State | WI
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Zip | 53705-2221
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Country | US
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Telephone | 608-263-4910
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Fax | 608-265-3286
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 49583-020
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License Number State | WI
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