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General NPI Number Information
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NPI Number | 1790177756
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Entity Type | Individual
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Provider Name | KELLY GOECKNER
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Gender | Female
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Dates
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Enumeration Date | 02/28/2015
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Last Update Date | 02/28/2015
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Provider Practice Location Address
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Address Line | 1505 SW CARY PKWY
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City | CARY
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State | NC
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Zip | 27511-6219
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Country | US
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Telephone | 919-249-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 1692 MILLER AVE
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City | ANN ARBOR
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State | MI
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Zip | 48103-2548
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Country | US
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Telephone |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 9296
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License Number State | NC
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