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NPI 1114922440

NPI 1114922440 : ANTHONY V GOOCEY CNP : MARIETTA, OH

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General NPI Number Information
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    NPI Number           |    1114922440
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY V GOOCEY CNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/14/2005
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    Last Update Date     |    02/26/2024
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Provider Practice Location Address
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    Address Line         |    800 PIKE ST STE 2 
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    City                 |    MARIETTA
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    State                |    OH
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    Zip                  |    45750-3507
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    Country              |    US
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    Telephone            |    740-373-3960
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 449 
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    City                 |    MARIETTA
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    State                |    OH
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    Zip                  |    45750-0449
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    Country              |    US
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    Telephone            |    740-374-4500
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    Fax                  |    740-374-5887
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN.CNP.07682
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    License Number State |    OH
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