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General NPI Number Information
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NPI Number | 1831622968
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Entity Type | Individual
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Provider Name | JUAN JOSE GOYANES-VASQUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1924 ALCOA HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-1511
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Country | US
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Telephone | 865-521-6174
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Fax | 865-546-4065
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Provider Business Mailing Address
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Address Line | 1068 CRESTHAVEN RD STE 300
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City | MEMPHIS
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State | TN
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Zip | 38119-0809
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 0000063859
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License Number State | TN
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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 | 0000063859
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License Number State | TN
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