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Individual
JACQUELYN A GOING
Active
Individual
JACQUELYN A GOING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
8384
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083849
—
SC
01
—
20068859
SELECT HEALTH
—
01
—
DC6996
MEDICARE RAILROAD GROUP NUMBER
—
01
—
P00184835
MEDICARE RAILROAD
—
01
—
PA1382
MEDICAID GROUP NUMBER
—
Enumeration date
06/27/2006
Last updated
09/25/2008
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