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General NPI Number Information
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NPI Number | 1447247218
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Entity Type | Individual
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Provider Name | BONNIE K GOINS MD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 902 N RIVERSIDE RD #201
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City | SAINT JOSEPH
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State | MO
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Zip | 64507-2559
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Country | US
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Telephone | 816-271-7280
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Fax | 816-271-1047
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Provider Business Mailing Address
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Address Line | 902 N RIVERSIDE RD STE 201
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City | SAINT JOSEPH
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State | MO
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Zip | 64507-2566
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Country | US
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Telephone | 816-271-7280
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Fax | 816-271-1047
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 100270
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License Number State | MO
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