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General NPI Number Information
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NPI Number | 1407837685
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Entity Type | Organization
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Legal Business Name | THE GOEGGEL COMPANY
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 911 HOLLY HILLS AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63111-2636
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Country | US
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Telephone | 314-351-4720
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Fax | 314-351-9935
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Provider Business Mailing Address
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Address Line | PO BOX 2888
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City | SAINT LOUIS
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State | MO
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Zip | 63111-0088
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Country | US
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Telephone | 314-351-4720
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Fax | 314-351-9935
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT I GOEGGEL
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Credential |
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Telephone | 314-351-4702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 189171
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License Number State | MO
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