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General NPI Number Information
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NPI Number | 1083550636
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Entity Type | Individual
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Provider Name | WARREN GOODIN OTR/L
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Gender | Male
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 11535 AVENUE 264
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City | VISALIA
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State | CA
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Zip | 93277-9315
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Country | US
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Telephone | 559-737-6720
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Fax |
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Provider Business Mailing Address
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Address Line | 11992 AVENUE 272
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City | VISALIA
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State | CA
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Zip | 93277-9424
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Country | US
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Telephone |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 16299
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License Number State | CA
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