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General NPI Number Information
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NPI Number | 1841474509
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Entity Type | Organization
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Legal Business Name | GREGORY A GODLEY DMD PA
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 165 N MAIN ST
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City | WEAVERVILLE
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State | NC
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Zip | 28787-8475
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Country | US
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Telephone | 828-645-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 162 GINGER QUILL CIR
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City | BILTMORE LAKE
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State | NC
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Zip | 28715-8908
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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 | PRESIDENT
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Name | DR. GREGORY ALAN GODLEY
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Credential | DMD
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Telephone | 828-633-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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