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General NPI Number Information
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NPI Number | 1295839413
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Entity Type | Organization
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Legal Business Name | GOODE 2 FEET
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 420 S MAIN ST STE B
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City | EMPORIA
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State | VA
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Zip | 23847-0016
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Country | US
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Telephone | 804-745-3011
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Fax | 877-846-0824
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Provider Business Mailing Address
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Address Line | PO BOX 74365
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-0007
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Country | US
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Telephone | 804-745-3011
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Fax | 877-846-0824
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNIFER GOODE EDWARDS
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Credential | DPM
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Telephone | 804-745-3011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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