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General NPI Number Information
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NPI Number | 1912986571
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Entity Type | Individual
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Provider Name | JUDITH CAROL GOLDBERG-BERMAN M.D., PH.D
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Gender | Female
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 56 LAFAYETTE PL SUITE A
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City | GREENWICH
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State | CT
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Zip | 06830-5430
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Country | US
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Telephone | 203-622-9160
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Fax | 203-661-3887
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Provider Business Mailing Address
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Address Line | 56 LAFAYETTE PL SUITE A
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City | GREENWICH
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State | CT
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Zip | 06830-5430
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Country | US
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Telephone | 203-622-9160
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Fax | 203-661-3887
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 033-952
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License Number State | CT
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