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General NPI Number Information
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NPI Number | 1851344857
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Entity Type | Individual
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Provider Name | GISELE ALLEN GOFF MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/02/2007
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Provider Practice Location Address
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Address Line | 6555 STAGE RD SUITE 1
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City | BARTLETT
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State | TN
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Zip | 38134-2810
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Country | US
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Telephone | 901-377-3475
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Fax | 901-377-8068
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Provider Business Mailing Address
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Address Line | PO BOX 102906
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City | ATLANTA
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State | GA
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Zip | 30368-2906
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Country | US
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Telephone | 901-377-3475
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Fax | 901-377-8068
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33988
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License Number State | TN
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