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General NPI Number Information
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NPI Number | 1497543219
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Entity Type | Organization
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Legal Business Name | GODEL & ASSOCIATES SC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 611 HAYWOOD RD
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City | GREENVILLE
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State | SC
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Zip | 29607-2744
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Country | US
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Telephone | 864-297-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 6655 E WILKINSON BLVD
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City | BELMONT
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State | NC
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Zip | 28012-4706
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Country | US
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Telephone | 704-689-1412
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Fax |
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | ERICA BEACH
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Credential |
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Telephone | 704-689-1412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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