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General NPI Number Information
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NPI Number | 1285750034
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Entity Type | Individual
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Provider Name | MARGARET A. GOODWIN PHD, LPCMH, LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 32711 LONG NECK ROAD CEDAR TREE MEDICAL CENTER
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City | MILLSBORO
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State | DE
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Zip | 19966
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Country | US
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Telephone | 302-561-0290
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Fax |
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Provider Business Mailing Address
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Address Line | 15 DOGWOOD DR
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City | HARBESON
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State | DE
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Zip | 19951-9484
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Country | US
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Telephone | 302-562-0025
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | B1-0000877
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | B1-0000877
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License Number State | DE
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