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NPI 1710036231

NPI 1710036231 : PATRICIA LOHR GOETZ MD : CANTON, OH

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General NPI Number Information
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    NPI Number           |    1710036231
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA LOHR GOETZ MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/10/2007
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    832 MCKINLEY AVE NW 
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    City                 |    CANTON
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    State                |    OH
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    Zip                  |    44703-2463
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    Country              |    US
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    Telephone            |    330-452-9812
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    Fax                  |    330-430-1288
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Provider Business Mailing Address
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    Address Line         |    8 PITKIN DR 
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    City                 |    HUDSON
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    State                |    OH
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    Zip                  |    44236-2263
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    Country              |    US
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    Telephone            |    330-452-9812
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    Fax                  |    330-430-1288
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    35-056415
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    35-056415
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    License Number State |    OH
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