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General NPI Number Information
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NPI Number | 1073282844
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Entity Type | Individual
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Provider Name | GEORGEANNA JEAN GOLDSTEIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1575 PINE RIDGE RD STE 16
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City | NAPLES
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State | FL
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Zip | 34109-2110
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Country | US
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Telephone | 239-734-3481
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Fax |
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Provider Business Mailing Address
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Address Line | 5604 BROAD BRANCH RD NW
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City | WASHINGTON
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State | DC
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Zip | 20015-2540
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Country | US
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Telephone | 202-374-9241
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW23740
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License Number State | FL
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