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General NPI Number Information
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NPI Number | 1265385884
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Entity Type | Individual
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Provider Name | AMANDA GOODENOW
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Gender |
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 6750 W 52ND AVE
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City | ARVADA
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State | CO
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Zip | 80002-3928
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Country | US
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Telephone | 303-698-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 8289 E LOWRY BLVD
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City | DENVER
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State | CO
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Zip | 80230-7256
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Country | US
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Telephone | 303-780-4600
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0002890
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License Number State | CO
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