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General NPI Number Information
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NPI Number | 1346223286
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Entity Type | Individual
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Provider Name | JEFFREY M GOOD MD
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 8177 GLADES RD BAY # 25
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City | BOCA RATON
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State | FL
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Zip | 33434-4071
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Country | US
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Telephone | 561-226-4116
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Fax | 561-939-1343
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Provider Business Mailing Address
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Address Line | 8177 GLADES RD BAY # 25
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City | BOCA RATON
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State | FL
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Zip | 33434-4071
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Country | US
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Telephone | 561-226-4116
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Fax | 561-939-1343
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 46071
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME 98053
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License Number State | FL
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