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General NPI Number Information
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NPI Number | 1285672345
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Entity Type | Individual
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Provider Name | ANIKA S. GOODWIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 09/08/2024
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Provider Practice Location Address
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Address Line | 160 W CAMINO REAL STE 1180
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City | BOCA RATON
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State | FL
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Zip | 33432-5942
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Country | US
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Telephone | 336-705-0516
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Fax |
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Provider Business Mailing Address
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Address Line | 160 W CAMINO REAL STE 1180
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City | BOCA RATON
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State | FL
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Zip | 33432-5942
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Country | US
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Telephone |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | CDR.0000195
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 31097
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD45562
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 10915237-1205
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 37377
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11747C
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License Number State | WY
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Taxonomy #7
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME136686
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 057437
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | TL32880
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License Number State | SC
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Taxonomy #11
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2014-00564
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License Number State | NC
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Taxonomy #12
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 56691
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License Number State | AZ
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Taxonomy #13
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 2014-00564
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License Number State | NC
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Taxonomy #14
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 057437
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License Number State | GA
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Taxonomy #15
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | TL32880
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License Number State | SC
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