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General NPI Number Information
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NPI Number | 1952687741
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Entity Type | Individual
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Provider Name | MICHAL S GOLDSHMID PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 2774 WEST DAVIE BLVD RIVERLAND MEDICAL CENTERS,INC.
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312
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Country | US
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Telephone | 954-791-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 SIENNA RIDGE LN
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City | LAUDERHILL
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State | FL
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Zip | 33319-4355
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Country | US
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Telephone | 954-319-4778
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9105985
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License Number State | FL
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