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General NPI Number Information
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NPI Number | 1124359997
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Entity Type | Individual
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Provider Name | BARBARA GOODMAN LSW
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Gender | Female
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 707 ALEXANDER RD SUITE 102
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City | PRINCETON
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State | NJ
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Zip | 08540-6331
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Country | US
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Telephone | 609-987-8100
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Fax | 609-987-0574
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Provider Business Mailing Address
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Address Line | 707 ALEXANDER RD SUITE 102
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City | PRINCETON
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State | NJ
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Zip | 08540-6331
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Country | US
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Telephone | 609-987-8100
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Fax | 609-987-0574
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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 | 44SL00047800
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License Number State | NJ
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