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General NPI Number Information
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NPI Number | 1629645403
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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 | 06/09/2021
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 319 N PINE ST
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City | SPARTANBURG
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State | SC
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Zip | 29302-1605
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Country | US
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Telephone | 704-689-1412
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Fax |
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Provider Business Mailing Address
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Address Line | 319 N PINE ST
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City | SPARTANBURG
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State | SC
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Zip | 29302-1605
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Country | US
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Telephone | 704-461-1116
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Fax | 704-626-3096
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | MRS. ERICA B 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 | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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