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General NPI Number Information
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NPI Number | 1871556746
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Entity Type | Individual
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Provider Name | DONALD TERRENCE GODBOLD MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 3916 STATE ST EMERGENCY DEPARTMENT
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City | SANTA BARBARA
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State | CA
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Zip | 93105-5602
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Country | US
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Telephone | 800-563-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1883 GIBBS AVE
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City | ATWATER
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State | CA
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Zip | 95301-8469
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Country | US
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Telephone | 209-358-3701
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A51364
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License Number State | CA
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