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General NPI Number Information
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NPI Number | 1740415140
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Entity Type | Organization
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Legal Business Name | E CAROL GOETTER MD INC
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 1211 24TH ST
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City | ANACORTES
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State | WA
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Zip | 98221-2562
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Country | US
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Telephone | 425-261-3092
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Fax | 425-261-3926
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Provider Business Mailing Address
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Address Line | 1020 34TH ST
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City | ANACORTES
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State | WA
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Zip | 98221-4206
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Country | US
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Telephone | 360-588-8457
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Fax | 360-588-8467
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Authorized Official
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Title or Position | ANESTHESIOLOGIST
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Name | DR. ELIZABETH CAROL GOETTER
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Credential | M.D.
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Telephone | 360-466-3299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00026003
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License Number State | WA
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