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General NPI Number Information
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NPI Number | 1275028862
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Entity Type | Individual
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Provider Name | SARAH MARIA GOFF DMD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 8390 E VIA DE VENTURA STE F200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone | 270-792-8644
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Fax |
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Provider Business Mailing Address
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Address Line | 8390 E VIA DE VENTURA STE F200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3177
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Country | US
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Telephone |
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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 | D010276
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10861
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DD4908
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License Number State | NM
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