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General NPI Number Information
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NPI Number | 1518856129
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Entity Type | Individual
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Provider Name | NOAH MCGOFF OD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1415 CAPITOL ST NE
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City | SALEM
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State | OR
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Zip | 97301-7850
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Country | US
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Telephone | 503-364-0512
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Fax |
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Provider Business Mailing Address
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Address Line | 17447 SW NOVEMBER CT
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City | BEAVERTON
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State | OR
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Zip | 97003-7552
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Country | US
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Telephone | 360-912-1214
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | AT4778
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License Number State | OR
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