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General NPI Number Information
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NPI Number | 1134877749
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Entity Type | Individual
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Provider Name | DR. BRITTANY GOODMAN
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Gender | Female
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Dates
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Enumeration Date | 03/13/2022
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 6400 IRON BRIDGE RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-5204
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Country | US
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Telephone | 804-271-8361
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Fax |
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Provider Business Mailing Address
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Address Line | 612 JASPER AVE
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City | RICHMOND
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State | VA
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Zip | 23222-1127
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Country | US
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Telephone | 561-324-5267
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202217611
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License Number State | VA
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