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General NPI Number Information
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NPI Number | 1255765897
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Entity Type | Individual
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Provider Name | DENNIS WAYNE GOFF APRN
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Gender | Male
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Dates
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Enumeration Date | 08/31/2013
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Last Update Date | 08/31/2013
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Provider Practice Location Address
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Address Line | 500 REFORMATORY ST
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City | HUTCHINSON
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State | KS
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Zip | 67501-3081
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Country | US
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Telephone | 620-664-2844
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Fax | 620-669-1219
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Provider Business Mailing Address
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Address Line | 500 REFORMATORY ST
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City | HUTCHINSON
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State | KS
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Zip | 67501-3081
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Country | US
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Telephone | 620-664-2844
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Fax | 620-669-1219
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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 | 5344034032
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License Number State | KS
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