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Individual
DALE E GOINS
Active
Individual
DALE E GOINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5744
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080178792
RAILROAD MEDICARE
—
05
—
102-612-001
—
AR
01
—
14169000001
QUAL CHOICE
—
01
—
51920
BLUE CROSS
—
01
—
710614761
TRICARE
—
Enumeration date
10/26/2005
Last updated
07/08/2007
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