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General NPI Number Information
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NPI Number | 1952706384
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Entity Type | Organization
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Legal Business Name | GOLDENWOOD SERVICES, LLC
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 2865 S EAGLE RD SUITE 335
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City | NEWTOWN
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State | PA
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Zip | 18940-1546
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Country | US
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Telephone | 215-479-6439
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Fax |
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Provider Business Mailing Address
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Address Line | 2865 S EAGLE RD SUITE 335
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City | NEWTOWN
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State | PA
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Zip | 18940-1546
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Country | US
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Telephone | 215-479-6439
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JEFFREY GOLD
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Credential | PH.D.
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Telephone | 215-479-6439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS005263L
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License Number State | PA
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