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General NPI Number Information
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NPI Number | 1992093264
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Entity Type | Organization
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Legal Business Name | HOWELL A GOLDBERG DDS PA
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 815 S UNIVERSITY DR STE 102
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City | PLANTATION
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State | FL
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Zip | 33324-3312
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Country | US
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Telephone | 954-472-3303
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Fax | 954-472-1055
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Provider Business Mailing Address
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Address Line | 815 S UNIVERSITY DR STE 102
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City | PLANTATION
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State | FL
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Zip | 33324-3312
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Country | US
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Telephone | 954-472-3303
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Fax | 954-472-1055
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOWELL ANDREW GOLDBERG
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Credential | DDS
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Telephone | 954-472-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9212
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License Number State | FL
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