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General NPI Number Information
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NPI Number | 1134801699
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Entity Type | Individual
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Provider Name | DEBORAH JEANETTE GODWIN M.S.ED, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 2000 GLEN ECHO RD
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City | NASHVILLE
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State | TN
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Zip | 37215-2857
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Country | US
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Telephone | 615-558-5720
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 GLEN ECHO RD
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City | NASHVILLE
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State | TN
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Zip | 37215-2857
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Country | US
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Telephone | 615-558-5720
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 000709274
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 000709274
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License Number State | TN
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