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General NPI Number Information
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NPI Number | 1235343898
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Entity Type | Individual
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Provider Name | PATRICIA ANN GOOCH R.PH.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1098 S MAYO TRL SUITE 105
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City | PIKEVILLE
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State | KY
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Zip | 41501-1546
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Country | US
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Telephone | 606-432-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 328 YORKWOOD FRST
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City | PIKEVILLE
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State | KY
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Zip | 41501-1550
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Country | US
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Telephone | 606-432-8980
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 008681
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License Number State | KY
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