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General NPI Number Information
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NPI Number | 1972831584
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Entity Type | Individual
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Provider Name | CORINNE ELIZABETH GOFF RD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 1130 TEN ROD RD # D-302
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City | N KINGSTOWN
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State | RI
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Zip | 02852-4161
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Country | US
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Telephone | 401-286-3373
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Fax |
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Provider Business Mailing Address
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Address Line | 53 COUNTRY CT
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City | N KINGSTOWN
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State | RI
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Zip | 02852-2901
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Country | US
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Telephone | 401-286-3373
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Fax | 401-349-0815
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LDN0658
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License Number State | RI
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