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General NPI Number Information
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NPI Number | 1912103565
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Entity Type | Organization
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Legal Business Name | HOWARD S. GOLDSTEIN, M.D., LLC
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10401 OLD GEORGETOWN RD SUITE 104
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City | BETHESDA
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State | MD
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Zip | 20814-1911
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Country | US
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Telephone | 301-897-2757
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Fax | 301-260-2838
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Provider Business Mailing Address
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Address Line | PO BOX 157
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City | ASHTON
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State | MD
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Zip | 20861-0157
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Country | US
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Telephone | 301-570-9700
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Fax | 301-260-2838
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Authorized Official
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Title or Position | SOLO PRACTIONER
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Name | DR. HOWARD S GOLDSTEIN
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Credential | M.D.
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Telephone | 301-570-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D0020388
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License Number State | MD
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