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General NPI Number Information
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NPI Number | 1194789271
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Entity Type | Individual
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Provider Name | PAUL B GOOGE MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 315 ERIN DR
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City | KNOXVILLE
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State | TN
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Zip | 37919-6202
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Country | US
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Telephone | 865-584-1933
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Fax | 865-584-1323
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Provider Business Mailing Address
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Address Line | DEPARTMENT 888107
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City | KNOXVILLE
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State | TN
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Zip | 37995-8107
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Country | US
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Telephone | 865-584-1933
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Fax | 865-584-1323
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 042.0010674
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 68780
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 15614
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License Number State | TN
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