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General NPI Number Information
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NPI Number | 1982643144
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Entity Type | Individual
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Provider Name | SAM GOLDBERGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 8 EVERETT ST
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City | NEWTON CENTER
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State | MA
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Zip | 02459-1939
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Country | US
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Telephone | 310-880-0017
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Fax | 458-203-7665
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Provider Business Mailing Address
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Address Line | 8 EVERETT ST
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City | NEWTON CENTER
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State | MA
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Zip | 02459-1939
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Country | US
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Telephone | 310-880-0017
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Fax | 458-203-7665
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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 | G62027
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 266664
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License Number State | MA
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