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General NPI Number Information
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NPI Number | 1144581489
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Entity Type | Individual
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Provider Name | KRISTIN L. GOODHEART PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 05/13/2018
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Provider Practice Location Address
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Address Line | 940 N TYLER RD STE 209
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City | WICHITA
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State | KS
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Zip | 67212
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Country | US
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Telephone | 785-623-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 8918 W 21ST ST N STE 200, BOX 215
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City | WICHITA
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State | KS
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Zip | 67205
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Country | US
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Telephone | 785-623-0303
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2180
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License Number State | KS
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