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General NPI Number Information
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NPI Number | 1518821495
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Entity Type | Organization
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Legal Business Name | GOFFE HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1334 SULPHUR SPRING
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City | HALETHORPE
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State | MD
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Zip | 21227
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Country | US
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Telephone | 410-935-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 1334 SULPHUR SPRING (927 RADALLSTOWN, MD 21133)
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City | HALETHORPE
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State | MD
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Zip | 21227
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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 | OWNER
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Name | VANESHA GOFFE
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Credential | DNP
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Telephone | 763-670-5449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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