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General NPI Number Information
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NPI Number | 1952419525
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Entity Type | Individual
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Provider Name | PAUL MICHAEL GOLDBERG MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 10383 HAGEN RANCH RD STE 100
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City | BOYNTON BEACH
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State | FL
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Zip | 33437
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Country | US
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Telephone | 561-739-5252
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Fax | 561-739-5255
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Provider Business Mailing Address
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Address Line | 10383 HAGEN RANCH RD STE 100
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3782
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Country | US
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Telephone | 561-739-5252
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Fax | 561-739-5255
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME93957
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License Number State | FL
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