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General NPI Number Information
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NPI Number | 1811014400
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Entity Type | Individual
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Provider Name | ANDREW GODBEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 3004 GORDONVILLE RD
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-5008
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Country | US
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Telephone | 573-332-1972
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Fax | 573-334-4667
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Provider Business Mailing Address
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Address Line | PO BOX 801143
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City | KANSAS CITY
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State | MO
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Zip | 64180-1143
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Country | US
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Telephone | 573-331-5583
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Fax | 573-331-5079
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 2005016356
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2005016356
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License Number State | MO
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