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General NPI Number Information
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NPI Number | 1043400666
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Entity Type | Individual
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Provider Name | GEORGE VERNON GOFF D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD DENTAL (160)
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-791-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 1731 SHORELINE DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1681
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Country | US
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Telephone | 281-499-8822
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14405
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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