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General NPI Number Information
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NPI Number | 1871714311
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Entity Type | Individual
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Provider Name | EDWARD JOSEPH GOEBEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | BALA EXECUTIVE COMMONS 11 BALA AVENUE
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City | BALA CYNWYD
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State | PA
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Zip | 19004-3201
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Country | US
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Telephone | 215-884-7720
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Fax | 215-884-7721
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Provider Business Mailing Address
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Address Line | P.O. BOX 2442
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City | JENKINTOWN
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State | PA
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Zip | 19046-8442
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Country | US
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Telephone | 215-884-7720
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Fax | 215-884-7721
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD045312L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | MD045312L
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License Number State | PA
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