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General NPI Number Information
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NPI Number | 1669574521
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Entity Type | Organization
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Legal Business Name | PERRONE AND GOGGIN DPM LC
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 2209 S 25TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34947-4796
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Country | US
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Telephone | 772-461-4400
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Fax | 772-461-4409
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Provider Business Mailing Address
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Address Line | 2209 S 25TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34947-4796
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Country | US
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Telephone | 772-461-4400
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Fax | 772-461-4409
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JOHN P GOGGIN
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Credential | DPM
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Telephone | 772-461-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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