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General NPI Number Information
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NPI Number | 1780827519
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Entity Type | Individual
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Provider Name | REBECCA A GOFF APRN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1680 S FISKE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-2535
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Country | US
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Telephone | 321-866-8484
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Fax | 321-333-5696
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Provider Business Mailing Address
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Address Line | 255 MADRID CT
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3046
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Country | US
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Telephone | 561-859-9334
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Fax |
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 3325872
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 3325872
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License Number State | FL
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