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General NPI Number Information
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NPI Number | 1255757217
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Entity Type | Individual
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Provider Name | PATRICIA L. GOOD NP
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Gender | Female
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 2719 S EL CAMINO REAL
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3354
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Country | US
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Telephone | 949-484-9517
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Fax | 949-569-1295
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Provider Business Mailing Address
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Address Line | 2035 JACOBS RUN RD
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City | NEW RICHMOND
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State | OH
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Zip | 45157-9307
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Country | US
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Telephone | 937-725-5522
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AG0314007
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.15767
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN.CNP.15756
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 3008647
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License Number State | KY
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