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General NPI Number Information
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NPI Number | 1740806389
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Entity Type | Individual
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Provider Name | ALAN VERL GODFREY DO
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Gender | Male
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Dates
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Enumeration Date | 06/19/2020
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 2301 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27705-4699
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Country | US
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Telephone | 919-684-7366
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Fax | 919-684-7168
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Provider Business Mailing Address
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Address Line | 2301 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27705-4699
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Country | US
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Telephone | 919-684-8111
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Fax | 919-684-7168
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2020016151
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2025-02006
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License Number State | NC
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