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General NPI Number Information
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NPI Number | 1922351717
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Entity Type | Individual
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Provider Name | STEVEN GARRETT GOLDBERG R.T.(R)(ARRT)
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Gender | Male
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 20880 W DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33180-1151
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Country | US
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Telephone | 305-682-1441
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Fax | 305-682-1855
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Provider Business Mailing Address
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Address Line | 20880 W DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33180-1151
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Country | US
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Telephone | 305-682-1441
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Fax | 305-682-1855
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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 | 2471B0102X
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Taxonomy Name | Bone Densitometry Radiologic Technologist
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License Number | 79055
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License Number State | FL
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