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General NPI Number Information
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NPI Number | 1770704850
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Entity Type | Individual
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Provider Name | JOHN GODFREY D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 760 W SPROUL RD STE 200
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City | SPRINGFIELD
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State | PA
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Zip | 19064-4005
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Country | US
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Telephone | 484-386-6300
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Fax | 484-380-3178
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Provider Business Mailing Address
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Address Line | 207 N BROAD ST FL 3
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1500
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Country | US
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Telephone | 610-565-2100
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Fax | 610-892-0626
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS012390
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MB07805800
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License Number State | NJ
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