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General NPI Number Information
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NPI Number | 1821811431
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Entity Type | Organization
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Legal Business Name | ANDREW C GOOCH DMD PLLC
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 1310 WINDERMERE RD
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5598
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Country | US
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Telephone | 407-566-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 WINDERMERE RD
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5598
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Country | US
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Telephone | 407-566-4646
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ANDREW GOOCH
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Credential | DMD
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Telephone | 352-562-2616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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