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General NPI Number Information
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NPI Number | 1811957939
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Entity Type | Individual
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Provider Name | HAROLD WILLIAM GOFORTH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # C21
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-3976
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Fax | 216-636-2175
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Provider Business Mailing Address
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Address Line | CLEVELAND CLINIC 9500 EUCLID AVE #C20
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-406-2844
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 200400337
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
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License Number | 200400337
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | 200400337
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 200400337
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 200400337
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35.099053
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License Number State | OH
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