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General NPI Number Information
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NPI Number | 1811135635
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Entity Type | Organization
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Legal Business Name | GEOFFROI A. GOLAY, D.C., PLLC
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 488 BLUE LAKES BLVD N SUITE 107
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City | TWIN FALLS
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State | ID
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Zip | 83301-4800
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Country | US
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Telephone | 208-733-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 488 BLUE LAKES BLVD N SUITE 107
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City | TWIN FALLS
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State | ID
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Zip | 83301-4800
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Country | US
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Telephone | 208-733-0123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEOFFROI A GOLAY
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Credential | D.C.
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Telephone | 208-733-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA806
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License Number State | ID
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