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General NPI Number Information
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NPI Number | 1891875217
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Entity Type | Individual
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Provider Name | RICHARD PALMER GOLD M.D
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 1000 10TH AVE
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City | NEW YORK
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State | NY
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Zip | 10019-1147
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Country | US
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Telephone | 212-590-2930
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Fax |
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Provider Business Mailing Address
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Address Line | 10 EXCHANGE PL 14TH FLOOR WSBS
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3918
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Country | US
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Telephone | 201-830-3171
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Fax | 201-200-0838
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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 | 2085R0205X
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Taxonomy Name | Radiological Physics Physician
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License Number | 107116
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 107116
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License Number State | NY
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