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General NPI Number Information
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NPI Number | 1043013402
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Entity Type | Individual
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Provider Name | GEORGIA ANN GOSHEA
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1808 COLONIAL VILLAGE LN STE 103
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City | LANCASTER
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State | PA
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Zip | 17601-6709
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Country | US
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Telephone | 717-391-0172
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Fax |
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Provider Business Mailing Address
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Address Line | 131 NORTH GAY STREET
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City | MARIETTA
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State | PA
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Zip | 17547
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Country | US
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Telephone | 717-426-5430
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | PN270001
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License Number State | PA
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