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General NPI Number Information
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NPI Number | 1659535144
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Entity Type | Individual
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Provider Name | LINDA JOAN GOFF PHD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 510 N ELAM AVE SUITE 201
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City | GREENSBORO
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State | NC
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Zip | 27403-1150
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Country | US
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Telephone | 336-299-9945
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Fax | 877-363-3857
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Provider Business Mailing Address
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Address Line | 115 FALKENER DR
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City | GREENSBORO
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State | NC
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Zip | 27410-5509
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Country | US
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Telephone | 336-638-3328
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2999
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License Number State | NC
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