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General NPI Number Information
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NPI Number | 1003604992
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Entity Type | Individual
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Provider Name | LEXIE MORGAN GOODWIN LSW
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 18351 VETERANS MEMORIAL HWY
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City | KINGWOOD
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State | WV
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Zip | 26537-8043
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Country | US
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Telephone | 304-216-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 3 RUCKERT RD
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City | MORGANTOWN
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State | WV
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Zip | 26508-2754
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Country | US
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Telephone | 304-216-7227
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | WV
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