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General NPI Number Information
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NPI Number | 1013216050
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Entity Type | Individual
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Provider Name | JEAN MARIE GOODWIN M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 825 E SPEER BLVD SUITE 216
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City | DENVER
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State | CO
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Zip | 80218-3719
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Country | US
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Telephone | 303-810-8053
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Fax | 720-917-1000
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Provider Business Mailing Address
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Address Line | 825 E SPEER BLVD SUITE 216
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City | DENVER
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State | CO
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Zip | 80218-3719
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Country | US
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Telephone | 303-810-8053
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Fax | 720-917-1000
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 992900
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 0495523
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License Number State | CO
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